The Pilates Center

HA invoice - Bridge Plus


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

Orientation

 

$50.00 USD

Advising Meeting 1

 

$105.00 USD

Advising Meeting 2

 

$105.00 USD

Practice Practical

 

$200.00 USD

Practice Performance

 

$100.00 USD

Observed Teaching

$70.00 USD per hour
(only 3 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:

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Signature Certificate
Document name: HA invoice - Bridge Plus
lock iconUnique Document ID: 691925417fa42b89b170c0fcfe67c198b5fa845d
Timestamp Audit
2017-02-07 13:18:05 MSTHA invoice - Bridge Plus Uploaded by Rachel Taylor Segel - forms@thepilatescenter.com IP 50.194.156.193