Funded CPD application form

The name and address provided below will be the details we use for your reimbursement.
Name
First Last
Address*
Street Address Address Line 2 City ZIP / Postal Code
Email Address*
Phone*

Relevant fitness qualification/s you hold
Please attach a copies of your qualification certificates here. E.g. Level 2 Exercise to Music, Level 3 Personal Training.
Remember, if you’re applying for funding to complete a CPD course, we need to see one of your qualification certificates.
Drop files here or

Max. file size: 50 MB.
How many classes do you currently teach?
Please enter a number greater than or equal to 0.
What styles do you teach?
Will you be teaching (or are you from) a disadvantaged community?
Will you be teaching any of the below groups?
- Individuals living from Lower Socio Economic Groups
- Diverse Ethnic Communities
- LGBTQ+ communities
- Individuals with a disability
- Individuals with long term health conditions
- Female only classes
- Male only classes

Name of training (qualification/course/workshop)*
Training provider*
Date of training*
Cost of training*
Please describe how completing this training will help to get more people participating, or will improve the retention of your current class participants.
Where did you hear about the Open Bursary?*

Please tick to confirm you have read and meet the eligibility and terms and conditions of the funding.*
- Please tick to confirm you have read and meet the eligibility and terms and conditions of the funding.
Just before you sign up*
- EMD UK store and process the personal data that you provide in order to deliver the product/service you require. Please read the EMD UK Privacy Notice
Would you also like to receive updates about other group exercise opportunities that EMD UK think you may be interested in?*
- Yes
- No
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Comments
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Thank you for your interest; you’re one step away from gaining funding towards your training!