CTAS Application Draft

Certified Therapeutic Adventure Specialist (CTAS)

Credentialing Application
CTAS APPLICATION INSTRUCTION VIDEO
PLEASE READ BEFORE BEGINNING YOUR APPLICATION.

Applicant:

We require the below document to be downloaded and filled out by your supervisor(s). Once the document has been filled out, please upload the document when prompted within the application. You may submit more than one copy if you have more than one supervisor.

You must ensure you have met all the below criteria for hours before submitting this form. If you received supervision from more than one supervisor each supervisor must complete a separate form. Each supervisor should indicate only the dates and hours for which s/he provided supervision. All forms from all supervisors combined should total the minimum hours required.
DOWNLOAD AND SEND TO SUPERVISOR(S) BEFORE BEGINNING YOUR APPLICATION. (Hover cursor over black box below and click the down arrow to download)
Credentialing Application Overview
This PDF summarizes the criteria that applicants must satisfy to earn the Certified Therapeutic Adventure Therapist (CTAS) credential. The criteria are designed to ensure that candidates possess a well-rounded education, and training in Adventure Therapy. (Hover cursor over black box below and click the down arrow to download)

CTAS Applicant Information
Name*

First NameLast Name
Employer*
Position Title*
Are you 21 years or older?*

YesNo
Phone Number

Country CodeArea CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload a copy of your Professional Resume / CV here:*

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VERIFICATION OF EDUCATION

(Academic Degrees OR Equivalent General Field Experience working in a mental health/wellness capacity that can be documented later in this application form.) Explanation: Associate’s degree with a specialization in Adventure Therapy or Bachelor’s degree or higher degree in Outdoor/Adventure Recreation, Education, Leadership, Therapeutic recreation, or specifically related behavioral health/social services degree from an accredited institution of higher education. OR Equivalent general field experience working in a mental health/wellness capacity that can be documented later in this application form. You are welcome to upload degrees in other areas than listed above to let AEE know more about your education.
Attach a copy of your transcript(s) issued by an institution of higher education.

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Associate's Degree In:*
Institution Name*
Year*
Bachelor's Degree In:
Institution Name
Year
Master's Degree In:
Institution Name
Year
VERIFICATION OF PROFESSIONAL EXPERIENCE IN LIEU OF A DEGREE

Please provide adequate documented proof of training in risk management, cultural competency/DEI, Mental Health First Aid, therapeutic facilitation, and conflict de-escalation, OR all experience gained through training at an AEE OBH Accredited Program. If the documentation is not significantly different than what you are submitting in the rest of the application, please write a short essay stating this and elaborating on your professional experience in lieu of a degree.
Upload Documentation Here

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Verification of Direct Adventure Experience
Applicant:

We require the below document to be downloaded and filled out by your supervisor(s). Once the document has been filled out, please upload the document below. You may upload more than one copy if you have more than one supervisor.

You must ensure you have met all the below criteria for hours before submitting this form. If you received supervision from more than one supervisor each supervisor must complete a separate form. Each supervisor should indicate only the dates and hours for which s/he provided supervision. All forms from all supervisors combined should total the minimum hours required.
- Completion of 300 direct service hours of therapeutic adventure specialist specific experience accumulated over a minimum of 90 days.
- In addition to the 300 direct service hours, applicants must complete at least 50 supervision hours of therapeutic adventure specialist experience verified by the supervisor. Supervision must be distributed throughout the direct client hours and can be conducted individually or in a group setting.
- Total Hours of Therapeutic Adventure Specialist Experience: 300 direct service hours + 50 supervised hours = 350 total hours of experience.
(Hover cursor over black box below and click the down arrow to download)
Upload verification here (filled out by supervisor(s)

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VERIFICATION OF THERAPEUTIC ADVENTURE TRAINING

Training hours should be reasonably distributed across all core elements. While a single training can account for experience in multiple core elements, CTAS candidates are required to articulate how those training hours are distributed. For example, if a 2-hour training covers both ‘therapeutic alliance building’ and ‘facilitation and processing,’ it must be clearly stated how much time from that training was used on each core element. Explanation: At least 75 hours of adventure therapy specific instruction covering all components of the “Core Elements of Therapeutic Adventure Therapy Training” (below). A maximum of twenty-five (25) hours may be virtual or online. This instruction should be provided by institutions of higher education (documented with the course syllabus) or from other professional development trainings. If these trainings offer CEUs, a certificate of completion and course content can serve as evidence of training. If not, a program packet and curriculum detailing the information reviewed will suffice as evidence.
For definitions and examples of the Core Elements of Therapeutic Adventure Training, please review the document below. (Hover cursor over black box below and click the down arrow to download)
Please upload all proof of training documents here:

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Legacy Application Notice: If you will be using an addendum to explain your Adventure Therapy Training and experience, Please enter the word "Addendum" into the form below.
Please categorize your training documents to help us understand which core elements of training were addressed in which documents.*
TOTAL Hours of Training:
First aid and CPR Training

Certification at the appropriate level of first aid (or higher-level healthcare provision) and CPR by nationally or internationally recognized organizations specializing in healthcare, and emergency response, or healthcare training. Level of First Aid certification should be consistent with setting of practice (wilderness or front country).

Please List Total Training Hours Within Each Category:

	Total Training Hours
TA Technical Skills
Facilitation and Processing of TA
Therapeutic Alliance Building in TA
Assessment in TA
TA Interventions
Therapeutic Monitoring in TA
Professionalism in TA
Socio-Cultural Considerations in TA
Environmental Considerations in TA
Trauma-Informed Practices in TA
TOTAL TA TRAINING HOURS

Attach evidence supporting information entered below

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List Trainings and Locations:
Level of Certification and Expiration Date:

Addendum

AEE recognizes it may be difficult for seasoned practitioners to reconstruct records of training, education, and supervision prior to January 1, 2023 In response, AEE is inviting CTAS candidates to complete this application to the fullest extent possible and attach a separate document (i.e. addendum) to explain any deficiencies. In this addendum, candidates must outline how requirements of the CTAS certification have been met and reasons why the candidate is not able to provide records as outlined in this application.
Does your application require review as a "legacy period" application (as described above)?

Yes, I will attach an addendum explaining how I have met CTAS requirements and why I am unable to provide proof.No, I have proof of all CTAS requirements.
Optional: Upload addendum here:

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Certified Therapeutic Adventure Specialist Applicant - Acknowledgement and Agreement

REVIEW & SIGN BELOW
This acknowledgment and agreement must be read, understood, and signed by Applicant as a condition to Applicant’s certification as an adventure therapist by the Association for Experiential Education (AEE). Applicant acknowledges and agrees as follows:

Therapeutic Adventure requires various skills to facilitate adventure activities, including, but not limited to, games and initiatives, low ropes courses, and high-level challenge and adventure activities (including challenge courses at height, rock climbing, paddling, and other outdoor adventure pursuits). Regardless of the type of therapeutic adventure activity, the primary facilitator of the activity should have training in the technical skills required to reasonably manage its risks, including the level of emergency medical training appropriate to the setting (front country or wilderness).

A primary facilitator must meet one or more of the technical skill conditions described below to lead adventure activities:

●      Certified / Licensed – Hold certifications or licenses appropriate to leading the adventure activity and received from professional training organizations that follow professional and commonly accepted practices for their discipline and are consistent with the laws and regulations for the jurisdiction in which activities are conducted; or

●      Professional Training – Have received appropriate adventure activity training from professional organizations that follow commonly accepted practices for their discipline. Examples include organizations accredited by the Association for Experiential Education, American Mountain Guides Association, Association of Challenge Course Technology, and Colleges and Universities; or

●      Organizational Oversight - Training received is part of a program with commonly accepted risk management practices, staff training, and appropriate activity protocols.

I, Applicant, will:

●      Comply with the terms of this Agreement, and uphold the ethical and legal standards of a professional pertaining to the licenses/certifications I hold;

●      Facilitate therapeutic adventure activities in a manner consistent with my competence and training;

●      Reasonably ensure that technically competent instructors act as primary facilitators of the technical aspects of the adventure activities I offer if I am not certified or professionally trained and assessed as competent to facilitate.

I represent that information, statements, and documents accompanying my application for certification or renewal is accurate, including my experience, education, training, and expertise. I am solely responsible for the accuracy of such information, statements, and documents, and AEE is not responsible or liable for any inaccurate or misleading information.

I agree to notify AEE if I immediately:

●      Have any disciplinary action taken against me by an applicable licensing or certifying authority;

●      Have my license or certification suspended or revoked or a condition placed on my license or certification;

●      Am convicted of a crime related to my providing mental health services or a crime that would adversely affect the interests, effectiveness, reputation, or image of AEE;

●      I voluntarily relinquish my license or certification.

Failure to report any of the four conditions described above may result in the denial or revocation of my AEE Certified Therapeutic Adventure Specialist (CTAS) credential.

I have read and am familiar with the AEE Certification Credentialing Manual and acknowledge and agree to the requirements of CTAS certification set forth therein.

I acknowledge and agree that certification as a CTAS by AEE is not intended to be and is not a representation or promise by AEE of my knowledge or competency, in my profession or otherwise, and that such designation confirms only that information and documentation received (which is not independently verified by AEE) reflects that the education and training requirements of AEE have been satisfied.

I understand that if AEE receives a complaint against me, AEE will request that the complainant bring their concern to the overseeing body of the state license(s) I hold. After a formal resolution of the complaint, AEE reserves the right to take disciplinary action if it believes such is warranted.

I hereby agree to indemnify and hold harmless AEE from and against any and all claims, losses, actions, costs, and expenses, including attorneys’ fees and insurance deductibles, incurred by AEE as a result of or arising out of a) my acts or omissions in my treatment of patients; b) my failure to abide by the code of ethics, standards of practice and legal standards and requirements promulgated by my primary licensing authority; c) any falsification, including by omission or inclusion, of information on my CTAS application or any supporting documents; d) my conduct or actions that are prejudicial to the purpose, interests, effectiveness, reputation, or image of therapeutic adventure and/or AEE; and/or e) any other action or omission relating to my CTAS credential or my performance there under.
SIGN HERE*

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DATE OF SIGNATURE

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CTAS Application Fee$60.00

Non-Refundable Application Fee. Once your application has been approved you will be billed $40 annually to maintain your certification. You will be directed to PayPal when you click submit. If you do not have a PayPal account simply choose "Pay with Debit or Credit Card".

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Certified Therapeutic Adventure Specialist (CTAS)

Credentialing Application Overview

CTAS Applicant Information

VERIFICATION OF EDUCATION

VERIFICATION OF PROFESSIONAL EXPERIENCE IN LIEU OF A DEGREE

Verification of Direct Adventure Experience

VERIFICATION OF THERAPEUTIC ADVENTURE TRAINING

First aid and CPR Training

Addendum

Certified Therapeutic Adventure Specialist Applicant - Acknowledgement and Agreement

Application Fee Payment