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Framework Trainer Certification

Eye Opening Learning Welcome! The information contained in this form will be submitted to the staff members of aha! Process, Inc. After submitting pre-registration, you will hear from an aha! Process representative in 2 to 7 days.
Please Note: this is a pre-registration action only, and does not confirm a seat in class. Payment must be received by aha! Process, Inc. to reserve a seat. When the seat is reserved you will receive confirmation within 2 business days.

If you wish to purchase materials at the workshop free of tax, we must have your tax exempt form on file before the workshop. You may fax it to 281-426-8598.

Prerequisite: Attendance at a Framework for Understanding Poverty and Learning Structures workshop, National Tour workshop, or listening to Framework Audio Workshop Kit prior to the training.

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Framework Trainer Certification
Trainer Agreement

To ensure your success as a trainer of Ruby Payne's work on poverty we require your participation in a joint agreement between yourself and aha! Process, Inc., as outlined in the TRAINING AND LIMITED LICENSE AGREEMENT. A copy of this agreement form will be emailed to aha! staff members, along with the registration information you provide below.

After reviewing and agreeing to these terms, please take a moment to provide the information in the form that follows. Please be sure to note and include all of the required fields. aha! Process, Inc. thanks you in advance for your attention to this agreement. You may also wish to read over our Privacy Policy.

Pre-Registration Form
Please take a moment to provide the information that follows (required fields are indicated by ).
 
Seminar Title Framework Trainer Certification
Location & Date

Your Information:

Title: Mr. Ms. Mrs. Dr.
First & Last Name
E-mail Address
Mailing Address
City
State/Province
Country
ZIP/Postal Code
Home Phone

Organization Information:

Organization or School District
School Name (if applicable)
Organization Mailing Address
Organization City
Organization State/Province
Organization Postal Code
Organization Phone
Organization Fax
Position with Organization

Is there a contact person for you or your group that you would prefer we contact about workshop details?

Contact Name
Contact Mailing Address
Contact City
Contact State/Province
Contact Postal Code
Contact Phone
Contact E-mail Address

I am taking the Training Certification Workshop for the purpose indicated below.
Non-Certification -Information and knowledge only (I will not be providing the training to anyone else.)
Certification as a Trainer

I, as a TRAINING PARTICIPANT, understand that by paying for this training workshop, I have read and agreed to all of the terms and conditions outlined in the TRAINING AND LIMITED LICENSE AGREEMENT; furthermore, I understand that I will be held personally liable and the institution which I represent will be sued for breach of contract if I violate any of the conditions.
I understand certification requires full attendance. (plan your travel accordingly for a workshop start time of 8:30am on the first day and a dismissal at 12:00pm on Day 4)

Normal scope of my position requires me to work at the State level.      Yes No

Prerequisite completion
I attended both days of the A Framework for Understanding Poverty and Learning Structures, 9 Strategies to Prevent Middle and High School Dropouts National Tour, Under-Resourced Learner workshop, or Under-Resourced Learner Summit.

I attended the two-day workshop, A Framework for Understanding Poverty and Learning Structures, 9 Strategies to Prevent Middle and High School Dropouts, or Under-Resourced Learners with a consultant from aha! Process.

I attended the two-day workshop, A Framework for Understanding Poverty and Learning Structures, with a certified trainer within my organization.

I agree to listen to the Audiotape Workshop Kit prior to this training. (This must be ordered separately.)

Registration Fee $795 per person
 
Payment Method School District Purchase Order
Check
Credit Card
 
Make payment to aha! Process, Inc.
P.O. Box 727
Highlands, TX 77562
(800) 424-9484 phone
(281) 426-8598 fax

Questions or request for more information: