Licensing Recertification Application
Step One: Tell us about yourself
Last Name First Name Middle Name
Date of Birth Name as you would like it to appear on you certificate Mailing Address
City State (Abbreviate) Zip
Phone (home) Phone (cell) Email address
Employer
Step Two: Requirements for renewal—include these items with your application
Requirements for Renewal
Documentation of 8 continuing education units (CEUs) (see attached reporting form).
A schedule of BBB classes taught over the past year.
A sample lesson plan on the provided BBB template (Pages 9-10).
A letter of satisfactory performance from your supervisor.
Two separate checks (Renewal Fee of $75.00 made out to “Better Bones & Balance/OSU” and Licensing Fee of $80 made out to “Oregon State University”).
All items must be submitted with your application form. The mailing address is at the bottom of the page.
Step Three: Signature
By signing this Renewal Application, I attest that the information I have submitted concerning my Continuing Education is truthful. I am aware that my BBB certification may be revoked if there is evidence to support that I have falsified any information concerning my reported participation in continuing education activities.
Signature Date
Year of Original Certification
Continuing Education Report Form
A total of eight [8] Continuing Education Units (CEUs) are required over the three years following initial licensure. Six [6] CEUs may be general fitness instructor training and two [2] CEUs must be specific to exercise and skeletal health. One [1] CEU is equivalent to one [1] hour of classroom or practical training time. Credits can come from a variety of sources as described below. Attach photocopies of the documentation for each course listed. Courses listed will not be accepted for credits without corresponding documentation.
College-sponsored courses related to general fitness instructor training or exercise and skeletal health.
• One [1] CEU hour per college quarter of credit.
Date Completed Course Name Provider CEU Hours
Attach photocopies of the documentation for each course listed. Courses listed will not be accepted for credits without corresponding documentation. For college courses, please attach a school transcript to receive credits.
*A provider is the company / organization offering the course.
Total:
Attendance at meetings of professional organizations that are directly related to general fitness instructor training or exercise and skeletal health.
• One [1] hour of CE credit granted for each educational meeting hour attended.
Date Completed Meeting Name Provider/Topic CEU Hours
Attach photocopies of the documentation for each course listed. Courses listed will not be accepted for credits without corresponding documentation. For college courses, please attach a school transcript to receive credits.
*A provider is the company / organization offering the course.
Total:
Continuing Education Report Form (continued)
Symposia, workshops, lectures, refresher courses, correspondence courses, etc. pertaining to general fitness instructor training or exercise and skeletal health.
• One [1] hour of CE credit per classroom hour.
Date Completed Event Name Provider/Topic CEU Hours
Attach photocopies of the documentation for each course listed. Courses listed will not be accepted for credits without corresponding documentation. For college courses, please attach a school transcript to receive credits.
*A provider is the company / organization offering the course.
Total:
In-Service Education related to general fitness instructor training or exercise and skeletal health.
• One [1] hour of CE credit per hour of in-service education.
Date Completed Event Name Provider/Topic CEU Hours
Attach photocopies of the documentation for each course listed. Courses listed will not be accepted for credits without corresponding documentation.
*A provider is the company / organization offering the course.
Total:
I, ____________________________, hereby state that all of the information contained on this form is a true and accurate log of my participation in the said continuing education activities.
I am aware that my BBB certification may be revoked if there is evidence to support that I have falsified any of the information on this report.
Signature: _______________________________________________Date: _________________
Please return all pages of the Re-certification Renewal Application to BBB.
Qualifying Continuing Education Activities
You must provide proof of having completed a minimum number of continuing education units (CEUs); six [6]
CEUs total over 3 years of general fitness instructor training, plus two [2] additional CEUs specific to exercise and skeletal health.
Participation in educational programs on topics relevant to the health and fitness field
*All eight [8] required continuing education credits may come from this section
1. Educational portions of fitness industry meetings or seminars: national convention, state, local, or regional meetings. (One [1] CE hour for each 60 minutes of participation.)
2. Educational portions of programs of allied health and other relevant professional associations. (One [1]
CE hour for each 60 minutes of participation.)
3. Educational portions of programs sponsored by organizations or vendors on topics that maintain, update, or enlarge knowledge of skills relevant to the fitness profession. (One [1] CE for each 60 minutes of participation.)
4. Telecommunications/teleseminars; relevant to the fitness profession. (One [1] CE hour for each 60 minutes of participation.)
5. In-service trainings of relevance to fitness program leadership (One [1] CE per 60 minutes of participation.)
Participation in formal educational programs relevant to the health and fitness field
*No more than four [4] CE hours total from this section.
1. Post-Secondary courses attended for credit, including guided independent study and residential college or university courses. Courses taken in pursuit of associates, baccalaureate, masters, or doctoral degrees, which are relevant to the Better Bones & Balance program, are included. All coursework and final examinations must be completed by the time of application for re-certification.
(Two [2] CE hours for every one [1] college quarter credit. Three [3] CE hours of every one [1] college semester credit.)
2. Audit of academic course or noncredit adult education course relevant to exercise and skeletal health, without completing necessary requirements for full formal credit. Course must be completed by the by the time of application for re-certification. (One [1] CE hours for every one [1] college quarter credit.
Two [2] CE hours of every one [1] college semester credit.)
Qualifying Continuing Education Activities (continued)
Publication or presentation of material relevant to health information
Publication is the development of an original work, relevant to the profession that has been reproduced by written or electronic means for general dissemination to the public. Presentation is the development of an original work delivered to an audience.
*No more than two [2] CE hours from this section.
1. Author of a textbook, workbook, or manual. (One [1] CE credit.)
2. Author of a chapter in a textbook, workbook, or manual. (One [1] CE credit.) 3. Author of an article in a referenced research journal. (One [1] CE credit.)
4. Author of an educational article in a professional or trade journal. (One [1] CE credit.) 5. Author of an educational article in a local or state newsletter. (One [1] CE credit.) 6. Editor of a textbook, workbook, or manual. (One [1] CE credit.)
7. Editor of a health/fitness or trade journal. (One [1] CE credit.)
8. Speaker at an educational program. (One [1] CE credit for each 15 minutes of podium time.)
9. Panel participant at an educational program. (One [1] CE credit for each 15 minutes of podium time.)
Other Activities
*No more than one [1] CE from this section.
1. Presenting a lecture on referenced fitness-related material that does not fall under current job description. (One [1] CE credit for each 15 minutes of podium time.)
2. Participation in an exercise and skeletal health seminar. (One [1] CE for each 60 minutes of participation.)
3. Internet educational offerings relevant to exercise and skeletal health (BBB approval required).
4. Internship in a health and fitness related field. (Maximum of four [4] CE credits.)
Non-Qualifying Continuing Education Activities
Examples of activities that do not qualify for CE credit are as follows. This list is illustrative and not intended to be inclusive.
1. Responsibilities that fall within the normal parameters of an individual’s job description, including but not limited to the following: (1) staff meetings; (2) staff reviews; (3) preparation of procedure, policy, or administrative manuals; (4) conducting tours; or (5) participation in career day activities.
2. Published materials or presentations developed as a direct part of an individual’s employment.
3. Summarizing articles, audiotapes or videotapes.
4. College courses that are not acceptable for continuing education include any course beyond the scope of practice for Better Bones & Balance instructors and courses that do not relate to Better Bones &
Balance.
Lesson Plan Submission Guidelines
Better Bones & Balance
®Lesson Plan Outline General Guidelines
Components Description Allotted Time
1. Warm-up Warm-up activities are essential to prepare the exerciser for more vigorous activity. The exercises included in the warm-up should mirror the more vigorous activities in the exercise program. Range of motion activities are best, stretching should be included if time allows AFTER range of motion activities have been completed.
5-10 minutes
2. Key-Component
Exercise Regime This is the primary focus of a BBB class. Exercises should include steps, squats/lunges, balance, other
strengthening exercises, and impact activity (jumps, stomps, etc.) as appropriate.
30-45 minutes
• The lesson plan should include some basic guidance related to the FITT (Frequency, Intensity, Time, Type), with a focus on the three latter components as frequency is dictated by the class schedule.
• Intensity may be altered through adjustments in:
o # repetitions appropriate for individuals’
respective fitness levels (beginner, intermediate, advanced)
o Modifications or added challenge appropriate to individuals’ fitness levels o Targeted RPE level
o Use of weighted vests
• Time refers to the duration of a particular exercise component
• This may be achieved through a designated # of repetitions and sets for strengthening activities or an amount of time for balance or aerobic activities 3. Cool-down Cool-down activities are intended to bring heart rate,
breathing, and body temperature back to resting levels.
Range of motion, balance, and stretching exercises are all appropriate activities for inclusion in the cool-down.
10-15 minutes
Lesson Plan Submission Example
Better Bones & Balance
®Lesson Plan Outline Sample One Week Lesson Plan
Components Description
Class content will vary, but during a particular week, exercises would be selected from this plan.
Allotted Time
1. Warm-up • Posture Cues (shoulders, pelvic floor, abdominals)
• Stretch (with chair available)
5-10 minutes total
Key-Component Exercise Regime
2. Strength/balance • Partner Core Challenge Time will vary
3. Side Lunge • Side Lunge Shift – Step Out Time will vary
4. Stepping • Basic Step Right Foot Lead (add # reps/sets)
• Hamstring Curls
• Basic Left
Time will vary
5. Chair Squat • Staggered Stance – Draw Horizon – Eye Follow Time will vary 6. Forward Lunge • Bench / Floor (briefly describe; Add reps/sets)
• Chair?
• Partner and Stick
Time will vary
7. Stepping • High Knees Alternate – Slow and Hold (with chair
available Time will vary
8. Chair Squat • Tap Toosh to Chair Time will vary
9. Forward Lunge • Dynamic / Static Forward Lunge Combo o Alternate 5 Sets with Chairs o Lower / Lift after each step
Time will vary
10. Toe Raise/Heel Drop • Use Chair/wall for balance as needed – Press Out Time will vary
11. Stomps/Jumps • Stomp Around the Room Time will vary
12. Side Lunge • Short and Sweet (3+3)
• Long and Strong (3+3) Time will vary
13. Stomps/Jumps • Stomp Around the Room (in opposite direction) Time will vary 14. Side Lunge • Short and Sweet (2+2)
• Long and Strong (2+2) Time will vary
15. Stomps and Jumps • Jumps (stomps or heel drops)
• T-Score < 2.5 = No Jumps Time will vary
16. Strengthening
Exercises • Resistance Bands in Chairs o Side Leg Lifts o Bicep Curls o Lat Rows
• Abdominals (Toe Dips – leg out 45 degrees)
Time will vary
17. Cool Down • Balance Exercises and stretching 5-10 minutes
Lesson Plan Submission Template
Better Bones & Balance
®Lesson Plan Template Instructor Name: Class Location:
Components Description
Class content will vary, but during a particular week, exercises would be selected from this plan
Allotted Time
Warm-up
Key-Component Exercise Regime Strength/balance
Cool Down
A modifiable version of this document can be downloaded from:
http://extension.oregonstate.edu/bbb/instructor-resources
