Training Accreditation Form

Please complete the following questions concerning the training you are seeking accredidation for. Trainers who wish to provide a training at the Association's Annual Conference held each year in September need to complete the form as well for training consideration.

Please be sure to print the completed application once done for your records. Thank you. 

REQUIRED

Applications for course certification must meet specific criteria including:

  1. Commercial guidelines requiring fair and balanced coverage of the topic being covered
  2. That the course does not promote any specific business interest or entity and
  3. The course must align with at least one of either CA PA|PG|PC’s core program competencies or proficiencies based on training definitions below

Details on the course review and approval process can be found in CA PA|PG|PC’s Standards & Certification process document under Chapter 6: Curriculum Standards & Definitions.

Please check which type of training you are requesting accreditation for (definitions below). The Committee uses these definitions to determine course criteria as outlined in the Standards & Certification process document. For those wishing to provide training at the Association’s Annual Conference, please select Annual Conference only.

  • Competency Training: Any training, course, workshop or other form of professional training organized and hosted by the Association’s Executive Office or PA|PG|PC County office which meets one or more PA|PG|PC program competency as outlined in Chapter 5 of the Standards & Certification Protocols
  • Proficiency Training: Any training, course, workshop or other form of professional training that meets one or more PA|PG|PC proficiencies outlined in Chapter 5 of the Standards & Certification Protocols or other related topic/skill set to be approved by the Standards & Certification Committee. The training may be presented by a County PA|PG|PC program member or an other outside entity/organizatio
  • Annual Conference: Training sessions held at the Association's annual membership conference. For a course to be considered for a conference, it must meet either one or more PA|PG|PC program proficiency or competency outlined in the Standards & Certification process document

NOTE: No more than seven (7) proficiency credit hours may be accumulated in a four-year period as approved by the Association.

*



REQUIRED

Entity Organizing Training - County, Dept., Outside Agency, Etc. (please do not use acronyms so that we clearly know who the organizing entity/agency is)*

REQUIRED

Contact Name (First/Last)*

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Contact Phone Number*

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Contact Email Address*


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Date of Training:*

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Title of Training:*

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Length of training (in hours):*

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Training Location Name: If for the Association's Annual Conference, please put "Conference"*

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Location Address: *

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Name of Trainer:*

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Trainer Phone Number:*

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Trainer Email Address:


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REQUIRED

Trainer's Bio:*

REQUIRED

Description of Training including training objectives:

Please provide an overview of the training. Course overview must be able to answer the following questions:

  • What are the learning outcomes a member will walk away with after taking this course?
  • Is the curriculum focused, coherent, and appropriately challenging for the subject being covered?
  • Does the curriculum align with one or more of the Program area core competencies or proficiencies listed in the Standards & Certification Guide? (Please list all core competencies or proficiencies addressed by this training)

REQUIRED

Please provide overview and core competencies/proficiencies met by course here. *

REQUIRED

Please add any additional comments here for consideration by the Standards & Certification Committee.
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