THIS APPLICATION SHOULD BE COMPLETED BY THE STAFF MEMBER APPLYING FOR THE COURSE TO ENSURE SCHEDULING AND TIME COMMITMENTS CAN BE MET.

It is recommended that two team members from the same agency participate in the course, so that colleagues can collaborate on their assignments and share learning. This is not a requirement, however. You can also participate solo.

Thank you for your interest in Online, Together! We are excited to work with you to explore techniques and methodologies that will enhance your program design and delivery skills. For more information about the program, please visit:  https://firstwork.org/training/online-together/

For more information, review the Syllabus, the FAQ and watch the webinar

The following application will take approximately 15 minutes to complete. The deadline for application submission is December 10th, 2021. You will receive a notification with confirmation of your place in the course by December 23rd, 2021. Classes for this cohort of Online, Together will begin the week of January 10, 2022 and run through the week of March 2nd, 2022.

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* 1. Your Contact Details

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* 2. Please enter your physical mailing address where we can send you the course workbook. Please note that this cannot be a PO Box and must be able to receive deliveries after hours (some deliveries may arrive after 5pm).

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* 3. We strongly urge that you complete the following tasks before deciding to apply to this program. Please confirm the following:

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* 4. Your Supervisor's Contact Details

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* 6. How many years have you been in your current role?

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i We adjusted the number you entered based on the slider’s scale.

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* 7. How many years have you been in the employment and training sector?

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i We adjusted the number you entered based on the slider’s scale.

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* 9. What program do you deliver?

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* 10. Why do you want to take the course?

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* 11. What are the primary challenges you currently experience delivering your program(s)?

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* 12. What do you hope to be able to do as a result of this course?

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* 13. If you achieve this goal, how will this impact your clients?

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* 16. Please select one option that reflects your availability to take this course (If you have open availability, please select all options).

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* 17. Do you know what kind of a learner you are?

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* 18. Please let us know if you have any accessibility needs. (For example, closed captioning, voice to text or text to voice, etc.)

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* 19. Is there anything else you would like to tell us?

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