GP Exercise Referral Website - Training Course Application

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Training Course Application

Training Course Application

Personal Details

Surname*
First Name*
Mr/Mrs/
Miss/Ms*
Date of Birth*
Tel*
Mobile*
Address*
Email*
How did you hear about this course?*

Current Employment

Your Job Title
Hours worked per week
Name of Employer
Name of Manager
Work Tel
Manager’s Email Address
Address of Employer
Brief Description of role and responsibilities

Previous Work Experience

Most recent first

Date	Organisation	Job Title	Role/Responsibilities

Fitness, Leisure and Health Qualifications

(please ensure your qualification is recognised by visiting www.repsireland.ie)

Awarding Body	Qualification Achieved	Date of Award

Higher Education

College/Institution	Qualification Achieved	Date of Award

Post Primary Education

School	Qualification Achieved	Date of Award

Supporting Statement

Please describe why you wish to become a local coordinator & why you feel that you are suited to this role

Pre Test

The following pre-test has been compiled to test your basic gym instructor knowledge and your ability to apply this knowledge in a practical setting. Please complete without use of textbooks or the internet in order to provide a true representation of your knowledge and abilities. If you find that the test is a big challenge and you cannot complete it within 90min, you may wish to reconsider applying for the course at this stage in your career.

1a.How much activity should adults (aged 18-65) achieve weekly according to the Irish physical activity guidelines?
1b.Define the borg scale and explain the benefits of using it
1c.Explain the difference between moderate and vigorous activity as if speaking with a client
2a.Work out the BMI for client x, a 38 year old man with a height of 1.78m and a weight of 98kg.
2b.What would his weight be if he had a BMI of 23?
2c.Your client thinks that BMI is not accurate and does not take into account their body composition. List three ways to measure body composition.
3a.Put the following in the order in which the blood flows through them using numbers 1-5 VeinArterioleArteryCapillaryVenuole
3b. What is cardiac output?
3c. Your client does not feel well and complains they feel light headed and clammy. What would you do in this situation?
4a.Give an example of each of the following types of joints;
Hinge
Pivot
Ball and Socket
Ellipsoidal
4b.Your client has been referred to you following hip replacement and physiotherapy and she wants to maintain her hip mobility. List the 6 types of movement that are possible in the hip joint. 1.2.
3.
4.
4c. Your client wants to stop using her walking stick, what exercises would you recommend to help her achieve this goal?

Candidate declaration

Have you any special requirements for language or learning? Yes
No
Are you applying for a funded place on the course? Yes*
No *If yes please ensure you post your service level agreement to the ilam office prior to the application deadline

Checklist

I have read the course information and completed the application form in full
I have completed the pre-test myself
I meet the prerequisites and am aware I am responsible for maintaining valid first aid and Garda vetting
I declare that the information in this application is true

There were errors on the form, please make sure all required fields(*) are fill out correctly.

You will receive email notification that your application has been received from ILAM office. If you do not receive notification please email the ILAM office. Your application will be checked to ensure you meet the prerequisites and then sent to the selection committee. You will then receive confirmation of your application outcome.

For more information please contact ILAM, Training Course Organiser, or 045 859950 Please post SLA to ILAM, Allenwood Enterprise Park, Allenwood North, Co. Kildare

Find The Programme Near You!

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GP Registration

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INSTRUCTORS

Qualifications and Delivery

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FOR GP's

Register to refer

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FOR THE PUBLIC

Get your GP to refer you

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The GP Exercise Referral Programme

The GP Exercise Referral Programme provides a pathway of physical activity to assist in the prevention and management chronic disease. The pathway offers professional support over 12 weeks to encourage health behaviour modification and retention of an active lifestyle.

Contact Us Today

If you live in an area that is currently operating the programme and are interested in being referred please consult your GP or you can.

Mail Gemma at: