VERIFIED CPD APPLICATION Verify your course/workshop’s CPD allocation by filling out the form below Verified CPD application Fill in this form if you are a Registered CPD Provider, and would like to submit a course or workshop as verified CPD. Step 1 of 2 50% Have you registered as a CPD provider with Pilates Aotearoa?(Required)YesNoNo, I am a REPs registered CPD provider In order to submit your courses for verified CPD, please register as a CPD provider with Pilates Aotearoa here You will need to register as a CPD provider with Pilates Aotearoa - as you have already registered with REPs, we will not require any further payment for this. Please contact us at info@pilatesaotearoa.org.nz for a coupon code for this. Education Provider DetailsWhat is your Legal Company or Persons Name?(Required) Trading name If different from the answer above. Address(Required) Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Website Contact person's name(Required) First Last Email(Required) Phone(Required)Course / workshop detailsName of course/workshop(Required) Length of course/workshop in hours(Required) Type of course/workshop (i.e. in-person workshop, virtual workshop, in person course, virtual course)(Required) Description of the course/workshop:(Required)Learning Outcomes of the course/workshop:(Required)Please provide a direct link to the course. Is the course/workshop assessed?(Required)YesNoCan participants fail?YesNoPlease give a sample certificate of the course.(Required)Max. file size: 24 MB.What is the start date of your course/workshop?(Required) Day Month Year Teacher detailsHow many teachers facilitate this course/workshop?(Required)OneTwoThreeFourFiveSix What is the teacher's name?(Required) First Last What is their Pilates Industry experience (in years)?(Required)Are they registered with Pilates Aotearoa?(Required)Yes - as a Pilates Method TeacherYes - as a Fitness Pilates Instructor - MatworkYes - as a Fitness Pilates Instructor - ReformerYes - as a Fitness Pilates Instructor - Matwork & ReformerNoList any other relevant expertise, trainings, qualifications or certifications they have:List any references of prior courses, masterclasses, workshops or content presented (if any)What is the second teacher's name?(Required) First Last What is their Pilates Industry experience (in years)?(Required)Are they registered with Pilates Aotearoa?(Required)Yes - as a Pilates Method TeacherYes - as a Fitness Pilates Instructor - MatworkYes - as a Fitness Pilates Instructor - ReformerYes - as a Fitness Pilates Instructor - Matwork & ReformerNoList any other relevant expertise, trainings, qualifications or certifications they have:List any references of prior courses, masterclasses, workshops or content presented (if any)What is the third teacher's name?(Required) First Last What is their Pilates Industry experience (in years)?(Required)Are they registered with Pilates Aotearoa?(Required)Yes - as a Pilates Method TeacherYes - as a Fitness Pilates Instructor - MatworkYes - as a Fitness Pilates Instructor - ReformerYes - as a Fitness Pilates Instructor - Matwork & ReformerNoList any other relevant expertise, trainings, qualifications or certifications they have:List any references of prior courses, masterclasses, workshops or content presented (if any)What is the forth teacher's name?(Required) First Last What is their Pilates Industry experience (in years)?(Required)Are they registered with Pilates Aotearoa?(Required)Yes - as a Pilates Method TeacherYes - as a Fitness Pilates Instructor - MatworkYes - as a Fitness Pilates Instructor - ReformerYes - as a Fitness Pilates Instructor - Matwork & ReformerNoList any other relevant expertise, trainings, qualifications or certifications they have:List any references of prior courses, masterclasses, workshops or content presented (if any)What is the fifth teacher's name?(Required) First Last What is their Pilates Industry experience (in years)?(Required)Are they registered with Pilates Aotearoa?(Required)Yes - as a Pilates Method TeacherYes - as a Fitness Pilates Instructor - MatworkYes - as a Fitness Pilates Instructor - ReformerYes - as a Fitness Pilates Instructor - Matwork & ReformerNoList any other relevant expertise, trainings, qualifications or certifications they have:List any references of prior courses, masterclasses, workshops or content presented (if any)What is the sixth teacher's name?(Required) First Last What is their Pilates Industry experience (in years)?(Required)Are they registered with Pilates Aotearoa?(Required)Yes - as a Pilates Method TeacherYes - as a Fitness Pilates Instructor - MatworkYes - as a Fitness Pilates Instructor - ReformerYes - as a Fitness Pilates Instructor - Matwork & ReformerNoList any other relevant expertise, trainings, qualifications or certifications they have:List any references of prior courses, masterclasses, workshops or content presented (if any)Consent(Required) I agree to the terms and conditions FollowFollow
