Trauma Informed Specialist Application
Thank you for your interest in the Trauma Informed Specialist Certification Program (TIS)! This program is designed to address the needs of educators and administrators by providing tools for supporting students who experience trauma and practicing self care in order to promote resiliency. By completing this certification you will be able to coach others to build Trauma Informed Schools using available resources.

The TIS program is designed by The Center for Cognitive Diversity and consists of 4 graduate level courses delivered over the course of 10 months with Continuing Education Semester Units available through CSUEB.

Our next cohort will run in 2023. Here is an overview of the courses.
1. Principles of Trauma for Educators (3 units) - 2 hour online session/ one Saturday a month/ 5 months
2. Reflective Supervision for Educators (1.5 units) - 2 hour online session/ one day a month/ 5 months
3. Trauma Supportive Schools (3 units) - 2 hour online session/ one Saturday a month/ 5 months
4. Advanced Reflective Supervision (1.5 units) - 2 hour online session/ one day a month/ 5 months

To find our scope and sequence, TIS job description, and letter of advocacy for employer coverage go to cogdiv.org https://www.centerforcognitivediversity.com/trauma-informed-specialists.html

Completing this form indicates you are interested in reserving a spot in the next cohort.  Thank you for your interest!

Emily Santiago, LEP, NCSP                                        April Brown (M.Ed)
Founder and Director                                                 TIS Program Director
emily@cogdiv.org                                                       april@cogdiv.org

Sign in to Google to save your progress. Learn more
Email *
Full Name (First and Last)
Preferred Name/Pronunciation
Mailing Address:
City
State, Zip Code
Phone Number:
What pronouns do you prefer to use?
Alternative Email:
Current Employer:
Please list your job title and current credentials.
Educational History: List any colleges or professional schools attended.
Describe your background and experience in education.
Explain why you are interested in becoming a Trauma Informed Specialist.
What are your professional goals once you have completed the certificate as a Trauma Informed Specialist?
What are you interested in receiving?
The cost of our 10 month program is $2800. Participants can receive CSUEB graduate credits for an additional $134 per graduate unit (9 semester units=$1206). Payment for graduate credits are due separately to CSUEB at the completion of each course if you are seeking credit. How do you plan to pay for the program?
Tuition Policy: I acknowledge this program registration represents a financial commitment for the 10 month period of the Trauma Informed Specialist program (minimum 5 months for Reflective Supervision) .  By checking this box, I agree to pay for the program in full in the next 10 months.  Refunds are available if a participant withdraws before courses begin. *
Required
Questions about the program?
How did you hear about us?
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 Center For Cognitive Diversity. Report Abuse