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* 1. Enter your full name

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* 2. Employer Name

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* 3. Work address

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* 4. Work telephone number (with area code)

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* 5. Home address (optional if you provided a work address)

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* 6. Home or mobile telephone number (with area code)

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* 7. Email address

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* 8. Please tell us how you prefer to be contacted by checking the appropriate box(es) below.

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* 9. Your position in your organization/company

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* 10. Do you have any special learning accommodation requirements related to learning differences, hearing difficulties, visual difficulties or other needs?

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* 11. How is your organization/agency supporting you to be a trainer?

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* 12. What interests you about becoming a Families Thrive, Strengthening Families and Youth Thrive trainer? (200 words max)

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* 13. Have you had any previous training on Youth Thrive or Strengthening Families?

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* 14. How do you currently incorporate the Protective and Promotive factors into your work?

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* 15. Have you ever completed a training of trainers?

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* 16. Please list all curricula for which you are an approved trainer (such as Making Proud Choices, Teen Outreach Program, Life Space Crisis Intervention, TCI, CPI, etc.).

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* 17. Please provide a description of your training experience that would qualify you to be a strong candidate to be a Strengthening Families/Youth Thrive trainer.

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* 18. How would an individual describe your training style after completing one of your trainings (i.e., philosophy, ability to engage)?

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* 19. List any training you have received in adult education, training delivery, curriculum development, etc.

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* 20. Have you ever been trained on the topic of Transfer of Learning?

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* 21. What systems do you plan to prioritize in your use of the Families Thrive, Strengthening Families, and Youth Thrive training? (check all that apply)

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* 22. Do you plan to offer the Families Thrive, Strengthening Families or Youth Thrive trainings outside of the state in which you were trained?

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* 23. We are excited that you are interested in becoming a Families Thrive, Strengthening Families, and Youth Thrive Trainer. This Training of Trainers (TOT) enables you to teach young people, parents, caregivers, volunteers, and professionals the combined Families Thrive framework, Strengthening Families modules, and the Youth Thrive framework.

The Families Thrive, Strengthening Families, and Youth Thrive curricula are copy written and owned by the Center for the Study of Social Policy (CSSP). By becoming a trainer and checking the box below, you agree to offer any of these curricula as described in the curriculum's Trainer Guides to people in your state and/or organization. 

People who become authorized trainers of the Families Thrive and Youth Thrive curricula agree to train at least 50 people over a two (2) year period following completion of their training.  This requirement can be met by participating in a full course or by participation in shorter overview presentations or completion of specific modules.  

You agree to gather and submit data on who you are training and their perception of the Families Thrive, Strengthening Families, or Youth Thrive training you provided. This data will go to the Lead trainer who trained you. In this case, the data will go to  Frank Eckles from the Academy for Competent Youth Work. You can either scan the evaluation forms and roster and email them to Frank or fax them to (979) 764-7307.  Frank may be reached at (979) 764-7303 or at passageH2H@aol.com.

In addition to reporting the evaluation data to Frank, you agree to submit quarterly training reports to CSSP. The forms for this reporting are found at this website: http://www.cssp.org/reform/child-welfare/youththrive/practice and will be discussed during the training.  

Please indicate below your willingness to abide by these conditions of use. If you need to discuss this with one of the course instructors, please select that box and we will arrange a conversation with you.

Again, we thank you for your interest in becoming a Families Thrive, Strengthening Families, and Youth Thrive trainer!   We look forward to working with you.  Together we are bringing THRIVING to our young people and their communities.

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