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This application is for organizations seeking approval of trainings per training they offer. Individuals seeking education approval for recertification need to complete the Individual Education Approval Application for Recertification found at
www.pacertboard.org
.
REQUIREMENTS FOR EACH TRAINING SUBMITTED FOR APPROVAL
Application fee of $75
CV or Resume of trainer(s) unless they have been previously approved in the last 12 months.
Copy of the Evaluation Form.
A draft of any marketing material.
Summary of the training, goals and objectives and a detailed daily schedule. Colleges and universities must submit the course syllabus.
REQUIREMENTS FOR THE ORGANIZATION
Provide a certificate of attendance to each attendee. The certificate must have the attendee’s name, the exact title of the training listed on application, name of the organization, the date of the training and the total number of hours awarded to each attendee. Do not change the title or date of the training without notifying PCB in writing. You must indicate on the certificate that the total hours awarded for the training are "PCB Approved Hours" (example: “PCB Approved for 6 Hours”). If an attendee must leave the training prior to its completion, their certificate of attendance must reflect the exact amount of time attended.
Within 10 days of completion of each PCB approved training, an attendance list including name and email address or full address if there is no email address to PCB must be submitted. PCB may randomly select attendees to inquire about the quality of the training.
Your organization may not advertise that a training is "pending PCB approval."
You must maintain attendance sheets for three years from training date of all PCB approved trainings.
PCB reserves the right to approve or deny education based on a full review of content and instruction.
Provider Status
Do you have Provider Status with PCB?
- None -
Yes
No
Organization Information
Organization Name:
Name:
Email:
Website:
Address:
Contact Person:
Contact Person Email:
Training Information
Title:
Date of Training:
Hours:
Location:
Name & Credential(s) of Instructor(s):
Links & Other Information:
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