The Pilates Center

HA invoice - Advanced


Please complete all appropriate fields below. Shaded fields below are required. Incomplete forms will delay processing.

Host Advisor Name:

Host Trainee Name:

Date:

Activity

Activity
Date Completed

Invoiced

Program Evaluation

$70.00 USD

Application 

$105.00 USD

Registration

 

$150.00 USD

Orientation

 

$50.00 USD

Advising Meeting 1

 

$70.00 USD

Advising Meeting 2

 

$105.00 USD

Advising Meeting 3

 

$105.00 USD

Advising Meeting 4

 

$70.00 USD

Case Study Reports (4)

 

$25.00 USD per report
($100.00 USD total)

Performance Evaluation

 

$100.00 USD

Practice Practical

 

$200.00 USD

Practice Performance

 

$100.00 USD

Observed Teaching

$70.00 USD per hour
(only 5 allowed)

Extensions

 

$100.00 USD

  Total invoiced:

$  

 

*If there are two examiners for the exams, the examiners will have to split the amount available for payment. This would include if a HA sits in with a LTT. The HA will receive payment too. Who completed the exam needs to be reported on the monthly report.

Once invoice is received it could take up to 45 days to receive payment.

Notes:

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: HA invoice - Advanced
lock iconUnique Document ID: 15b39b87c75cf5abe8e7437d4897cd1eec3d3d26
Timestamp Audit
2017-02-07 13:12:12 MDTHA invoice - Advanced Uploaded by Rachel Taylor Segel - forms@thepilatescenter.com IP 50.194.156.193