Advanced Level Facilitator Training Application 2022
Thank you for your interest in becoming an Advanced Level Facilitator. The first step in the process is to fill out this online form. Additional information on applying to train as an Advanced Level Facilitator can be found: http://copelandcenter.com

FOR REFRESHERS: You do not have to send the supplemental material of video, certificate, or evaluations. You do need to fill out this online application form.

For new applicants:
WRAP Presentation Recording (video) -
Applicants as asked to create an unedited 20 minute video presenting an overview of the Five Key Concepts, Wellness Toolbox, and all the sections of WRAP® (Daily Maintenance Plan, Triggers and Action Plans, Early Warning Signs and Action Plans, When Things Are Breaking Down and Action Plans, all the parts of the Crisis Plan, and Post Crisis Plan). Our preference is for you to upload the video to youtube.com, vimeo.com or similar and leave the link (url) in the application below.

Please fill out this application and then send us the following application materials to:
1. A copy of your WRAP Facilitator certificate. Please scan and email.

 2. At least 3 evaluations from at least 5 different WRAP groups you have facilitated (15 total evaluations). Please scan and email.

Materials should be emailed to Rachelle Weiss, info@copelandcenter.com, with the subject line: ALF (Month) 2022 (LAST NAME). Example: ALF Apr 2022 Wilson

Please feel free to contact the Copeland Center for any reason during your application process: Katie Wilson: +802-451-0140 or training@copelandcenter.com
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Session you are applying for: *
First Name: *
Last Name: *
Name as you would like it to appear on your certificate *
Address 1: *
Address 2:
City: *
State: *
Zip Code/Postal Code: *
Email: *
Phone:
Are you applying to this training to receive an Advanced Level WRAP Facilitator REFRESHER? *
Required
When did you receive WRAP Facilitator Training? *
Who were the trainers at your WRAP Facilitator Training? *
How many WRAP groups and presentations have you completed since becoming a WRAP Facilitator? *
The selection committee is most interested in experience with 8-12 week WRAP groups and Seminar I in the 2- and 3-day format.
Have you taken a WRAP Facilitator Refresher in the last 2 years? *
Required
If you have taken the WRAP Facilitator Refresher, please let us know about the most recent training.
Please list when you took the Refresher and who facilitated the training in the space below.
As an Advanced Level WRAP Facilitator, who do you intend to co-facilitate WRAP Facilitator Training with? *
WRAP Facilitator Training should always be co-facilitated, even with small groups.
Link to recorded WRAP presentation (video) - unedited 20 minute video presenting an overview of the Five Key Concepts, Wellness Toolbox, and all the sections of WRAP®.
Our preference is for you to upload the video to youtube.com, vimeo.com or similar and leave the link here. This is only required for those seeking accreditation as Advanced Level WRAP Facilitator Training. It is not required for Refreshers.
How do you practice the WRAP values and ethics: a. with self? b. when working with a co-facilitator? c. during the WRAP group experience? *
How has living WRAP enhanced your life? *
Briefly explain your personal experience.
Please share an experience about a WRAP facilitation curriculum guideline that resonates with you and why. *
Curriculum guidelines are in the WRAP Facilitator Manual section 1.
Do you have any dietary restrictions or mobility issues? Is there anything else we should be aware of to support you during the training?
We want to keep everyone safe and healthy! In order to attend this training, you must either be fully vaccinated or provide a negative COVID-19 tests on the days of training. *
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