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Niagara County Community College

CERTIFIED PERSONAL TRAINER PRE-REQUISITE CERTIFICATION

I, ___________________________________________________ __________________________________,

(Please print your name) (Student ID #)

- Completed Anatomy and Physiology in high school and earned a final grade of ≥ 65 (or)

- Completed Anatomy and Physiology or Human Biology at a transfer institution and earned a final

grade of ≥ 65(or)

- Have 5+ year experience as a personal trainer in the fitness industry and have a current, non-

accredited certification as a personal trainer

I understand that this fulfills the prerequisite for:

HPE260 – Certified Personal Trainer Certification

I am requesting a “Permit Override” for CRN ____________________ _____________________________

Semester & Year

_________________________________ _______ ________________________________ ______

(Student signature) (Date) (Faculty signature) (Date)

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