INIFAC Certification Forms

1
What certification are you applying for?* This field is required.
Certified Master Facilitator®
Certified Competent Facilitator®
Certified Skilled Facilitator®
Certified Learning Facilitator®
Certified Master Learning Facilitator®
Certified Advanced Virtual Facilitator®
Certified Virtual Facilitator®
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Are you a CMF®, CSF®, or CCF®?
Yes
No
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Name* This field is required.
First Name
Last Name
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Date
Date
Month
Day
Year
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Phone Number* This field is required.
Please enter a valid phone number.
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Email* This field is required.
example@example.com
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Organization
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Address* This field is required.
Street Address
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Afghanistan
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The Bahamas
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Belize
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Bosnia and Herzegovina
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Country
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Select Your Time Zone* This field is required.
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Country* This field is required.
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Provide three date and time options within the next three months for your 30-minute online assessment.* This field is required.
Date
Month
Day
Year
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Time* This field is required.
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Date* This field is required.
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Date* This field is required.
Date
Month
Day
Year
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Time* This field is required.
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Website
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Do you hold any INIFAC certifications?
Certified Master Facilitator®
Certified Master Learning Facilitator®
Certified Competent Facilitator®
Certified Skilled Facilitator®
Certified Learning Facilitator®
Certified Advanced Virtual Facilitator®
Certified Virtual Facilitator®
19
Are You a Certified Professional Facilitator?
Yes
No
20
Certificate Date
Date
Month
Day
Year
21
Do you hold any other professional facilitation certifications?
Yes
No
22
If yes, please enter the details
23
Upload Photo (Upload a Head Shot you would like us to use on the website for your certification)* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
24
Upload Bio to be displayed on INIFAC website* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
25
Country / State / Province of your residence
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Number of years as a professional facilitator
27
Highest level of formal education
28
Formal facilitator training classes taken
29
Specific facilitation methods you employ
30
Other professional fields in which you have worked
31
Professional organizations of which you are a member
32
Gender
Male
Female
Other
33
Languages used in facilitating
34
How did you hear about INIFAC?
35
Products* This field is required.
prevnext( X )
My Bag
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My Bag
Great Product Name
$20
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Great Product Name
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Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costUSD
Certified Master Facilitator®Assessment fee for Certified Master Facilitator® without a nomination.
$2,350.00Edit
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Certified Master Facilitator® with NominationAssessment fee for Certified Master Facilitator® with a nomination.
$2,150.00Edit
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Certified Competent Facilitator®Assessment fee for Certified Competent Facilitator®.
$1,000.00Edit
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Certified Skilled Facilitator®Assessment fee for Certified Skilled Facilitator®.
$1,000.00Edit
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CCF®/CSF® to Certified Master Facilitator® Assessment fee for current CCF®/CSF® who are applying for Certified Master Facilitator®.
$1,350.00Edit
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Certified Master Learning Facilitator®Assessment fee for Certified Master Learning Facilitator®.
$2,350.00Edit
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Certified Master Learning Facilitator® with NominationAssessment fee for Certified Master Learning Facilitator® with nomination.
$2,150.00Edit
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Certified Learning Facilitator®Assessment fee for Certified Learning Facilitator®.
$1,000.00Edit
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Certified Advanced Virtual Facilitator®Assessment fee for Certified Advanced Virtual Facilitator®.
$1,000.00Edit
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Certified Virtual Facilitator ®Assessment fee for Certified Virtual Facilitator®.
$198.00Edit
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Total cost $0.00
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