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AHT TOT Application

Due to the nature of training content, high demand, and limited availability, we are asking interested trainers to complete this electronic application.  Completion of this application does not guarantee participation.   PCAK staff will be in contact with you regarding your application status. 
1.Please provide the following information:(Required.)
2.Are you a credentialed social worker or do you currently provide trainings to credentialed social workers?(Required.)
3.Please list your job title and description. (Required.)
4.Do you have any training credentials?(Required.)
5. Please explain why you would like to become a trainer in this curriculum.  (Required.)
6.Who would your anticipated training audience be?(Required.)
7.Please list the counties where you would provide this training.(Required.)
8.How many participants do you anticipate being able to train in a calendar year?(Required.)
9.Do you have professional experience presenting trainings?(Required.)
10.Please provide a description of your professional training experience, if applicable.(Required.)
11.Are you available to attend the all day in person TOT in Frankfort on 04/23/24?(Required.)
12.Does your employer require ongoing or recent criminal and CAN checks?(Required.)
13.Please upload your resume. (Required.)
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14.Please provide any additional information regarding your application.