AASECT Continuing Education Provider Application

AASECT Continuing Education Provider Application

An AASECT Continuing Education (CE) Provider is an individual or organization, approved by AASECT and committed to providing education that meets AASECT standards for helping individuals earn or maintain their AASECT Certification credential. AASECT CE Providers are responsible for properly representing all AASECT guidelines, procedures, and standards. Individuals and organizations may become AASECT Continuing Education (CE) Providers. There are three types of AASECT CE Providers. The table below lists these categories and the fees associated with each. Provider categories are defined below the table.

HOW TO APPLY

Fill out this online form.
Once form is complete, submit appropriate payment via credit card to AASECT Office (202) 449-1099. Fax: (202) 216-9646.

Deadlines for submission of AASECT CE Provider Applications

Provider Cycles

(two years)

May 1

July 1 - June 30

November 1

January 1 - December 31

Provider Categories and Fees

Individual Provider	$ 300 / two years
Organizational I Provider	$ 500 / two years
Organizational II Provider	$ 2,000 / two years

($200 of the total fee is a non-refundable processing fee.)

Individual Provider

An Individual Provider must be an AASECT Certified Member and must present at least 80% of the training of each event. There is no limit to the number of CE credits you can offer. (Note: if you are presenting your training with a partner who is presenting more than 20% of the total material, you must apply to be an Organizational Provider.)

Organizational Provider I

An individual, group of individuals, private training center, school, accredited university/college, or other organization. Organizational Providers must have an AASECT Certified Member overseeing the planning of all training. The Organizational Provider I offers 40 or fewer AASECT CE credits per year and utilizes more than one expert to deliver the training.

Organizational Provider II

An individual, group of individuals, private training center, school, accredited university/college, or other organization. Organizational Providers must have an AASECT Certified Member overseeing the planning of all training. The Organizational Provider II offers more than 40 AASECT CE credits per year and utilizes more than one expert to deliver the training.

Payment

Once you submit your application, an invoice will be sent via email and you will be able to pay online.
Provider Responsibilities and Privileges

Approved AASECT CE Providers must maintain documentation of programs offered, including program objectives, syllabi/ outlines, evaluations, and rosters, for seven years. This seven-year requirement aligns with the AASECT Code of Ethics. Further, it aligns with AASECT’s members’ needs, i.e. CE credits may be applied towards members’ certification renewals for up to five years after earning them. AASECT may conduct periodic reviews of Approved Providers’ documents, as part of a process of evaluating training.

If this application is complete, it will be reviewed upon receipt. If it is not complete, the AASECT Office and/or the CE Committee will contact applicant to request more information. Expect at least 4 weeks for review.

Upon approval of application, applicant will be sent a personalized template of a Certificate of CE credits and an AASECT web posting form. If you would like to publish the event on the calendar of events on the AASECT website, please complete and provide the AASECT web posting form to ce@aasect.org.

It is the responsibility of attendees to determine if their state licensing board will accept AASECT CE credits.
1. Select ASSECT Continuing Education Provider status sought:*

IndividualOrganizational IOrganizational II
2. Pick one:*

As an Individual Provider, I understand that I am to present 80% of all trainings provided (specify below)I am applying for or renewing an Organization I or II status (specify below)
Name of AASECT Certified Member applying for or renewing Individual Provider status (individual applications) or overseeing planning of training (organization I or II applications):*
Name of organization applying for or renewing Organizational I or II status. *
If you are applying for an individual provider application, type "Individual Application."
3. Contact Information
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
4. Attach CV of AASECT Certified Member.*

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5. Indicate group(s) targeted as potential participants in activities offering AASECT CE credits:*

PsychologistsPsychiatristsSocial WorkersCounselorsMarriage and Family TherapistsPhysiciansNursesEducatorsGraduate StudentsUndergraduate StudentsOther
6. Do you or your organization agree with AASECT's Position Statements (available at https://www.aasect.org/advocacy)?

YesNo
7. Please let us know how your content will be respectful of diversity in human experience. How will you make a conscious effort to seek and incorporate perspective diversity in their curriculum or actively acknowledge limitations of your content either verbally or in writing during their presentation? Example: If the research used during a presentation does not account for gender diversity, the presenter will identify that the information is specifically representational of the cisgender experience. *
8. Please let us know how your content will account for a diverse range of learning styles and abilities. How will you present content using multiple means of engagement? If applicable, will virtual trainings be presented with transcripts or closed captioning? Multiple means of engagement may include, but is not limited to: Lecture, large group discussions, small group discussion, writing exercises, creative activities, movement exercises, or video.*
9. AASECT expects that CE content providers maintain an accurate record of their trainings for at least 7 years and the records are properly secured (ex. digital records are password protected and encrypted electronic devices and paper records are in locked file cabinets). These records must include: a. Learning objectives and syllabi or outlines of classes, workshops, seminars, webinars or trainings b. Evaluation questions and results (results may be anonymized) c. Attendee names, contact information, and verification of course completion*

Click here if you agree to meet these expectations.Click here if you need additional guidance on how to meet these expectations.
ORGANIZATIONAL PROVIDERS I AND II ONLY

(Individual Providers - write N/A for each of sections)
10. Provide a description of the organization’s structure for the administration of CE events. *
11. Provide a diagram of the chain of command within the organization by name, title, and department.*

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12. Provide documentation of organizational accreditation or incorporation.*

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Indicate the type of organization:*

University / College: Psychology DepartmentUniversity / College: Other DepartmentPrivate Educational OrganizationProfessional School of PsychologyProfessional Society / AssociationHospital / Medical SchoolMental Health Center / ClinicState or Regional Psychological AssociationAmerican Psychological (APA) DivisionGovernment AgencyOther
List major goals and functions of the organization:*
13. List the name, highest degree earned and employment setting of staff responsible for program planning, and describe the role of each individual in the planning process. Attach a CV for each individual named below. For larger planning committees, do not submit more than three CVs.
Name

First NameLast Name
Degree
Employment Setting
Role in Program Planning
CV

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Name

First NameLast Name
Degree
Employment Setting
Role in Program Planning
CV

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Name

First NameLast Name
Degree
Employment Setting
Role in Program Planning
CV

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Below, please provide a sample of one event to be evaluated by the CE Approval Committee that will illustrate an understanding of AASECT education standards and procedures. The sample you provide may be an upcoming event or an event you have presented within the past two years.
Title of Event*
Event Coordinator/Contact*
Email*
example@example.com
Phone*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Website URL
Event Type (Choose One)*

Live in personSynchronous (Participants view at same time/different place)Asynchronous (Participants view at different times/different place). Please be aware that for this option, you will later on this form be asked to include a post-test with one question per hour of asynchronous instruction.
Event Date(s)*
Number of CE credit hours requested*
Location of Event (City/State/Country)*
Presenter(s)*
Please attach the following, described below:
1. A summary description of the event*

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2. Detailed outline of the event with topics covered, time schedule, and methods of instruction. Breaks and meal breaks must be included in the outline but do not count toward CE credits.*

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3. Learning Objectives including AASECT categories

Please attach a list of your learning objectives in SMART goal format, including which Core Knowledge or Skills Training areas each objective will cover. For help on categories, please see this short video: Understanding AASECT Categories.

(See below for more information)
*

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AASECT Categories for Events

AASECT recognizes both Core Knowledge training, and Skills Training. Core Knowledge is general information about a topic. Skills training is how to apply knowledge about a topic to the participants' work. For more information on how to choose the categories, please see our Understanding AASECT Categories brief video.

Core Knowledge Areas and Training

To indicate how the content of training meets AASECT Certification requirements for educators, counselors and therapists, indicate which of the following your training addresses. (Note: the CKAs should also be included next to each learning objective listed on the next page For more detailed description of the categories, please see the AASECT website.

a. Ethics and ethical behavior

b. Developmental sexuality from a bio-psycho-social perspective across the lifespan.

c. Socio-cultural factors (e.g. ethnicity, culture, religion, spirituality, socio-economic status, family values) in relation to sexual values and behaviors

d. Sexual orientation and/or gender identity

e. Intimacy skills (e.g., social, emotional, sexual) and family dynamics.

f. Diversities in sexual expression and lifestyles, i.e. polyamory, swinging, BDSM, tantra

g. Sexual and reproductive anatomy/physiology

h.Health/medical factors that may influence sexuality i.e. illness, disability, mental health, safer sex

i. Range of sexual functioning and behavior, from optimal to problematic

j. Sexual exploitation, including sexual abuse, sexual harassment, and sexual assault

k. Cyber sexuality and social media (sex & technology)

l. Substance use/abuse and sexuality

m. Pleasure enhancement skills

n. Learning theory and its application

o. Professional communication skills

p. History of the discipline of sex research, theory, education, counseling, and therapy

q. Principles of sexuality research and research methods

Sexuality Education (SE) Skills Training

a. Theory and methods of general education (including curriculum development, delivery, and evaluation

b. Theory and methods of sexuality education.

c. Ethical issues in sexuality education.

d. Approaches to sexuality education with specific populations

e. Approaches to sexuality education delivery (e.g., small group work, one-on-one education, small groups, technological delivery, etc

Sexuality Counseling (SC) Training

a. Theory and methods of personal/individua counseling.

b. Theory and methods of sexuality counseling approaches to specific populations

c. Theory and methods of different approaches to intervention in relationship systems.

d. Theory and methods of decision-making concerning sexually-related medical interventions.

e. Ethical issues in sexuality counseling.

f. Theory and practice of consultation, collaboration, and referral.

Sex Therapy (ST) Training

a. Theory and methods of sex-related psychotherapy, including several different models.

b. Techniques of sex-related assessment and diagnosis of the 'Psychosexual Disorders' described in the DSM.

c. Theory and methods of approach to intervention in relationship systems experiencing sex and intimacy problems.

d. Theory and methods of approach to medical intervention in the evaluation and treatment of psychosexual disorders.

e. Principles of consultation, collaboration, and referral.

f. Ethical decision-making and best practice.

g. Exposure to treatment of clinical sex therapy cases through direct observation, demonstration, case review, or role-playing. eLearning cannot be applied.
4. References and Resources used

Please attach a list of the academic references you used to create this educational experience. AASECT prefers approximately one reference per hour of training. Personal experience can be an acceptable reference for guest speakers or panelists in some cases.
*

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5. CVs or resumes of all presenters*

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6. Evaluation form(s), which includes a question for rating each learning objective, each presenter's content and style, and the facility or online webinar platform. If the training is asynchronous, please attach a post-test with one question per hour of asynchronous instruction. Also, please attach a post-test with at least three questions per hour for any work counting toward CEs given outside of class. *

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7. Do you have promotional material?*

YesNo
If you have promotional material, please provide a link to your website or a link to the promotional material here:
Or upload the promotional material here:

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8. Grievance Procedure

Please attach a copy of your grievance procedure. Include the steps taken if a participant submits a grievance. As a last step, please include AASECT as a contact option, at ce@aasect.org. Click here for a sample grievance procedure.
*

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9. Provider Expectations
- Once an event has concluded, AASECT CE Providers must collect an evaluation from each attendee. Once the evaluation has been collected, the AASECT CE Provider may (or, is allowed to) send the attendee a PDF version of the CE Provider’s personalized AASECT CE Certificate.
- AASECT CE Providers are not required to submit event information to AASECT until their required renewal (every 2 years).
Initial if you Consent to the provider expectations*

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10. Advertising and CE Credits

When advertising your events, please use the following verbiage:

“This program meets the requirements of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and is approved for ____ CE credits. These CE credits may be applied toward AASECT certification and renewal of certification.”
When calculating CE credits, please use the following information:

60 minutes = 1 CE credit or 90 minutes = 1.5 CE credits
Each credit hour must have one learning objective
Increments of 15 or 45 minutes are not permitted for 0.25 or 0.75 credits. For example, a segment scheduled for 1 hour 15 minutes will count as 1 credit; a segment scheduled for 1 hour 45 minutes will count as 1.5 credits.

AASECT Certification Disclaimer
Please note, AASECT Certification is not automatic. In all cases, the Certification Committee determines whether AASECT certification is awarded.

The BOARD approved the following disclaimer. Please use this wording on your on-line advertisements, brochures and other training materials:

“Completion of this program does not ensure or guarantee AASECT certification. For further information please contact info@aasect.org.”
Initial if you Consent to the advertising and CE credit guideline*

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11. Acknowledgement of Stipulations and Liability Release for AASECT Approved Providers

The American Association of Sexuality Educators, Counselors and Therapists (AASECT) does not assume in any way, financial, legal or any other liability for programs conducted by providers. As an AASECT Approved Provider, you/your organization are expected to:

Abide by the stipulations as outlined.
Carry out marketing, promotion, and educational instruction in a professional way, consistent with the ethical/professional standards of AASECT.

Liability Release

By signing this application, I accept the following conditions. I will:

a. Abide by AASECT policies, procedures and position statements.

b. Carry out marketing, promotion, and educational instruction in a professional way, consistent with the ethical/professional standards of AASECT.

c. Disclose to AASECT and course participants any relevant interest in companies or products discussed in my presentations.

d. Abide by the policy for live demonstrations.

e. Accept that AASECT does not assume in any way, financial, legal or any other liability for programs conducted by me, my staff or organization.
Initial if you Consent to this liability release*

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By signing below, I certify that the above information is correct, that the information provided with this application accurately represents myself and / or any organization I represent, and I accept the terms outlined above and agree to abide by AASECT standards as listed in the AASECT Code of Ethics.
Signature*

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Date*

MonthDayYear
Date
Printed Name*
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AASECT Continuing Education Provider Application

ORGANIZATIONAL PROVIDERS I AND II ONLY