SCW Certification Renewals

Step 1: Certification Types
Step 2: Enter Your Personal Information
Step 3: Club/Facility Information
Step 4: CEC/CEU Information
Step 5: Payment
Name*

First Name Last Name
Previous Name (Maiden Name)
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Is this a new address?*

YesNo
Cell Phone Number*
Business Phone Number
Home Phone Number
Personal E-mail*
Retype Personal E-mail*
Business E-mail

Step 1: Certification Types
Step 2: Enter Your Personal Information
Step 3: Enter Your Club/Facility Information
Step 4: CEC/CEU Information
Step 5: Payment
Facility / Club Name
Facility / Club Phone
Facility / Club Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Owner / Director Name
Owner / Director Phone
Owner / Director Email
GFM Name
GFM Phone
GFM Email
PT Manager Name
PT Manager Phone
PT Manager Email
Aqua Manager Name
Aqua Manager Phone
Aqua Manager Email

Step 1: Certification Types
Step 2: Enter Your Personal Information
Step 3: Enter Your Club/Facility Information
Step 4: Enter Your CEC/CEU Information
Step 5: Payment
Please fill out your continuing education information below, requires a total of 20 hours of training.
CEC Provider Organization(s) (list all)*
Type each entry on a new line
CEC Course Name(s) (list all)*
Type each entry on a new line
CEC Course Dates (list all)*
Type each entry on a new line
CEC Hours Completed*
I have successfully completed the required 20 hours of Continuing Education Credits (CECs) within 2 years of my SCW Certifications*

YesNo, send me info on how to get the required CECs from SCW
I understand that SCW does not accept/require CPR training for CECs or Certifications*

YesNo
COMMENTS: (What suggestions would you make to simplify and/or professionalize this renewal process?)

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please retain copies of all documentation of Continuing Education earned. You have 6 months after your certification expiration date to renew. After 6 months, you must apply for an extension here or you will have to retake the course.

SCW Fitness Education is a nationally recognized and accredited certification organization that has trained over 100,000 Fitness Professionals. SCW Certifications are Nationally Recognized and Respected and increase your value as a Fitness Professional.

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