ATCQA Certification Application

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(Please add TC@AmericanTaiChi.org to your contact list - we will contact you using this email address.)

Email *

First Name *

Last Name *

Which certification are you applying for? (check http://www.americantaichi.org/applicationRenewal.asp for details) *

Please provide the total number of training hours you received:

Please describe how you earned these training hours:

If applying for the Instructor Certification, please provide the total number of teaching hours

If applying for the Instructor Certification, please describe how you earned these teaching hours (i.e. 50 hours at ABC Senior Center, 30 hours at YMCA, etc.)

Submission of supporting documents

Please press the "Submit" button at the bottom of this form before proceeding to the next step: submit supporting documents.

Please use one of the 2 ways to submit recommendation letters and other supporting documents:
1. If you have a Gmail account, please sign in and go to this Google Form to upload the documents: https://forms.gle/hWVjmuYoFTWVgzCbA.
2. If you don't have a Gmail account or you prefer not using it, please email the documents to TC@AmericanTaiChi.org.

A copy of your responses will be emailed to the address you provided.

Submit

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