Trainer Certification
Renewal or New Trainer Certification.
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New Trainer Certification
Renewal of Trainer Certification
Your First & Last Name
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Your Email
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example@example.com
Your Phone Number
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Area Code
Phone Number
Today's Date
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Certification
Trainer / Facilitator Levels of Certification.
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Lead Facilitator
Specialist Facilitator
Training Partner
Training Completed
Behaviour Management Training Programs Completed (face to face)
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(OVA) Occupational Violence & Aggression Management Training
(PPBT) Protective Physical Behaviour Training for Schools
(BCM) Behaviour Coaching & Mentoring in Schools
(ERST) Ethical Response Safety Training for Disability
(IERST) Individualised Ethical Response Training
(PBS) Positive Behaviour Support Training
(TICT) Trauma Informed Care Training
(ASD) Autism Spectrum Disorder Training
(DCAT) Disability Cultural Awareness Training
(MAB) Managing Aggressive Behaviours in Aged Care
(MHIC) Mental Health Informed Care Training
(CAT) Cultural Awareness Training
Basic Foundation Training Completed (Pre Recorded Webinars)
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(OVA) Occupational Violence & Aggression Management Training
(PPBT) Protective Physical Behaviour Training in Schools
(ERST) Ethical Response Safety Training in Disability
(PBS) Positive Behaviour Support Training
(TICT) Trauma Informed Care Training
(ASD) Autism Spectrum Disorder Training
(MAB) Managing Aggressive Behaviours in Aged Care
(MHIC) Mental Health Informed Care Training
(CAT) Cultural Awareness Training
Provisional BS Practitioner Approval under CBC
How To Deliver Training
Trainee (Provisional Certification)
Assistant (Watching) Completed (Live Webinar or Face to Face)
Minimum of 2 Assistant Trainee (Watching)
Date Completed Assistant (Watching) Session 1
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Date Completed Assistant (Watching) Session 2
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Trainee (Co Facilitation) Completed (Live Webinar or Face to Face)
Minimum of 3 Trainee (Co Facilitation)
Date Completed Trainee (Co Facilitation) Session 1
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Date Completed Trainee (Co Facilitation) Session 2
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Date Completed Trainee (Co Facilitation) Session 3
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Facilitator (Under Supervision) Completed Under Supervision
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Minimum of 2 Facilitation (Under Supervision)
Date Completed Facilitation*(Under Supervision) Session 1
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Date Completed Facilitation*(Under Supervision) Session 2
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Certified Facilitator
Lead Facilitator (Solo Facilitation) Completed Under Supervision
Minimum of 1 Lead Facilitator (Solo Facilitation)
Date Completed Lead Facilitator (Solo Facilitation) Session 1
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Specialist Facilitator (BS Practitioner - IERST training)
Minimum of 1 Specialist Facilitator (Solo Facilitation)
Date Completed Specialist Facilitator (Solo Facilitation) Session 1
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Assessor Name
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Rod Catterall
Bernie Lastro
Heather Lambert
Sean Bowring
I hereby declare that the information provided is true and correct.
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