Nobody's Perfect Facilitator Training
This form should be completed by the person who will be attending the Facilitator Training.  Your answers will help the Nobody’s Perfect Trainers integrate your specific needs and interests into the training workshop. All responses are confidential.  
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Email *
Training dates are you registering for *
Required
Name *
email *
Agency *
Address *
Position *
Phone
Director/Managers name and email *
Check any of the following kinds of training or workshops that you have previously attended. *
Required
List your Formal education (certificate, diploma, degree):
Why are you choosing to become a Nobody’s Perfect Parenting Facilitator? *
In your own words, what is your definition of the role of a Facilitator? *
How comfortable would you be if you were to facilitate a parent discussion right now?     *
not comfortable
very comfortable
Describe why you chose the number you did.  For example, “I am comfortable with people… or I am nervous when...”
What challenges have you encountered, or think you might face, when working with groups?
Think of something you just learned. (Ex. watching someone, doing it yourself, reading a book…)  What is your preferred learning style? (ie Visual, Auditory, Kinesthetic …)
In your opinion, what is experiential learning?
What is your experience with a participant-centered approach to adult education, either as a participant or as a facilitator?
What are your goals &/or expectations for this training? *
What is your experience with on-line training or running sessions?
Do you have any accessibilities needs that we should be aware of to help mitigate any barriers to you participating? 
Send my agency an invoice for my registration fees of $550 for training face to face or, $650 for training on zoom  *
Before sending this application, please review the following with your agency manager: Is your organization prepared to   a) Authorize you to attend the 4 day in person, or the 4.5 days of on-line training on zoom.  ( must have access to a computer, webcam and reliable internet connection. )• b) Offer Nobody’s Perfect to parents (either a group or 1:1 or on-line) within six to twelve months following the training?• c) Use the program in the manner it was intended?• d) Provide the Provincial Coordinator with program reporting information as required? • e) Arrange for purchasing parent kits, support preparation and promotion time, provide space for the sessions, provide materials, help with transportation (if possible) and provide child care and snacks for parent attendees? *
Required
PLEASE NOTE YOU WILL RECIEVE A CONFIRMATION EMAIL IN A FEW DAYS. THANKS!
A copy of your responses will be emailed to the address you provided.
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