Workshop Information
We are interested in learning more about your experience as a former sublicensee of Paul Ekman International (PEI). Once you have completed and submitted this form, your confidential responses will be reviewed by the executive team at Paul Ekman Group (PEG) and, if necessary, PEG's legal counsel. If you have questions or concerns, please contact us at academy@paulekman.com
Sign in to Google to save your progress. Learn more
Email *
Your name *
Your LDC or private training company's name (please include URL to website, if applicable) *
If additional trainers are facilitating Ekman workshops in your group, please name them below.
When did you become a PEI trainer? *
MM
/
DD
/
YYYY
Do you have an active license? *
If active, when does your license expire?
MM
/
DD
/
YYYY
When was your last license payment made? *
MM
/
DD
/
YYYY
Do you need certificates? *
Did you successfully complete the TTT (Train the Trainer) program? *
If yes to TTT, when were you certified?
MM
/
DD
/
YYYY
What language(s) are you authorized to deliver trainings in?
Did you pay for the trainings to be professionally translated? *
Which location(s) did you deliver workshops in? *
Describe how you used/intend to use Ekman-copyrighted materials in your trainings *
Are you interested in a license partnership with PEG? *
Are you willing to share your licensing contracts, fees, terms and other information with us? *
Are you interested in having your contact information added to a community "trainer directory"? *
If you are an Associate trainer, are you willing to up-train to become a Trainer? *
As a Trainer, what is your target client population? *
Please outline immediate impediments preventing your success as a Trainer. *
Preferred means of course facilitation: *
Required
Do you have additional professional qualifications and/or certification that could be used to upgrade the workshop course content/delivery? If so, please list and briefly describe curriculum *
Additional comments
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Paul Ekman Group. Report Abuse