Family Child Care ToT Registration Form

Dates: October 7 & 8 and October 14 & 15

Times: 6-9pm

Format: Virtual, Via Zoom

Description: This training is for individuals who want to train the EC-PBIS Family Child Care Modules. It will take place over 4 separate nights for 3 hours each night.

Prerequisites:

You must have taken the EC-PBIS Family Child Care Module Series training before enrolling in this Train the Trainer.
You are required to be an approved trainer with a training organization/entity. This prerequisite is required because participants can only receive licensure and IQ4K training credit if they are trained by a trainer approved by an organization/entity to train.

Notes:

If you do not meet these prerequisites, you will recieve a follow-up email and may not be approved for the training or selected training dates. If you have questions about these prerequisites, please contact Marisa Kahler at ecpbis.ia@gmail.com
Please note that a minimum number of 10 participants will be required for this training to be held. You will be notified at least 1 week before the training if it is cancelled due to low registration.

Name

First NameLast Name

Email Address

example@example.com

Have you attended the EC-PBIS Family Child Care module training?

If you have attended the EC-PBIS Family Child Care module training, but it is not listed in your professional development record in I-PoWeR, please upload evidence of your attendance (ex. certificate) here:

Are you an approved trainer with a training organization/entity?

With which training organization/entity (ex. AEA, CCR&R, Head Start, etc.) are you approved?

*Approved trainer status will be verified through I-PoWeR. Registrants who are currently in I-PoWeR and have a designated role of "Adult Educator/Instructor" through an Iowa EC-PBIS approved training organization will be approved without the need of further evidence. If you are currently using I-PoWeR but have not set up the Adult Educator/Instructor role or do not currently use I-PoWeR, please upload any evidence you have of your trainer approval status (ex. letter from employer, email approval, certificate, etc.) below. If you do not submit any evidence, you and/or the training organization through which you are an approved trainer will be contacted to verify this prerequisite.

Please upload any evidence you have of your trainer approval (ex. letter from employer, email approval, certificate, etc.).

If you are not currently an approved trainer through a training organization/entity, we recommend you contact your local training organization to begin the process. If you have any questions please reach out to ecpbis.ia@gmail.com.

Would you like this Train the Trainer recorded in your professional account in i-PoWeR?

If you would like this Train the Trainer recorded in your professional account in i-PoWeR, please check the email address which is connected to your i-PoWeR account. If it is different than the one entered above, please enter the one connected to your i-PoWeR account below:

Iowa EC-PBIS Family Child Care Modules Train the Trainer