Training Application

Training Application
This application is for the Kentucky Activity Director Certification. This training is approved as a State Training by Leading Age Kentucky and the Kentucky OIG. The length, topics, and overall requirements are set by the OIG. This is a 36-hour training.
Training Information
Online Virtual, Structured: Based on a Cohort model, which will make you a part of a small group. Class is based on an 8 Week Model and everyone in each group have the initial enrollment occur on the same day.

Online Virtual, Self Paced: This is an on demand, at your own speed model. You will receive a separate email with login information, and the enrollment through An Embrace of Learning should occur within 48 hours.

In Person: These classes are Monday through Friday in Louisville, KY! The sessions will be from 9 to 5 each day, with a 1 hour break for lunch.
Session Name
Course Start Date

MonthDayYear
Date
Course Type*
Training Type
Activity Virtual Course Options*
Activity In Person Course Options*
Wound Care Virtual Course Options*
Recruitment Virtual Course Options*
Nurse Supervisor Virtual Course Options*
Medical Director Virtual Course Options*
There are no in-person class options at this time. Please select "Virtual" in Course Type to find available courses.
Online Virtual, Self Paced: This is an on demand, at your own speed model. This will have a rolling enrollment. You will receive a separate email with login information, and the enrollment through An Embrace of Learning should occur within 48 hours.
Signup Type*
Please keep in mind that the "Your Information" below is referencing the person being trained. If you are signing someone else up, please enter that person's information below.
Your Information

This is the information for the person who will be completing the education
Name*

First NameMiddle NameLast NameSuffix
Your Phone Number*
Please enter a valid phone number.
Your Personal Email*
example@example.com. Please Note: Please remember which email you enter. Future communication concerning this class will utilize this email address.
Your Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your Facility*
Your Current Job Title*
Your Role/Department*
Your organization may use different names for these categories
License Information

This section is optional in case you would like to report a license for potential CEU credit. Please enter the information of the specific license for the potential CEU credit.
State License ID/Number
State License Name
Please Include State (Example: Kentucky - LPN)
State License Next Renewal Date

MonthDayYear
Date
Should be Empty:

Training Application

Training Information

Your Information

License Information