Fitness Instructor Test Certificate Form
Please complete this form to record your fitness instructor test details and acknowledge certification requirements.
Candidate Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Test Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Test Module
*
Please Select
Practical Assessment
Theory Assessment
First Aid Module
Nutrition Module
Other
Assessment Criteria
*
Rows
Needs Improvement
Satisfactory
Excellent
Exercise Demonstration
1
2
3
Class Leadership
4
5
6
Communication Skills
7
8
9
Safety Awareness
10
11
12
Knowledge of Anatomy
13
14
15
Knowledge Test Score (out of 100)
*
Instructor/Evaluator Name
*
First Name
Last Name
Instructor/Evaluator Comments
Candidate Signature
*
Submit Certificate Form
Submit Certificate Form
Should be Empty: