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Application for Certification

This page is a checklist of the application and required items to be submitted with your application for a Group Leader Certification to deliver the Incredible Years programs.

Application Checklist for Certification as a BASIC Parent Program Group Leader

1. Application Form This form must accompany initial submission of tape for review.
2. One-page letter discussing your interest in becoming certified, your goals plans and philosophy of effective parenting and your clinical experience.
3. Background Questionnaire for Group Leader Confidential questionnaire about your professional background so we can improve the quality of our training workshops and materials.
4. Two letters of reference.
5. Evaluations - Weekly parent and final evaluations.
6. Workshop Session Checklist for two complete groups.
7. Two Peer evaluations and two Self-Evaluations. Parent Leader Peer and Self-Evaluation Form
8. Feedback review - Certified Mentor or Trainer's supervisory report of your group session. Either on-site or you may submit a videotape review. The review expects the following protocol to be met. Group Leader Process Checklist

Application Checklist for Certification as a Dina (Small Group) Child Group Leader/Therapist

1. Application Form (PDF) This form must accompany initial submission of tape for review.
2. One-page letter discussing your interest in becoming certified, your goals plans and philosophy of effective teaching and your teaching experience.
3. Background Questionnaire for Group Leader (PDF) Confidential questionnaire about your professional background so we can improve the quality of our training workshops and materials.
4. Two letters of reference.
5. Dina (Small Group) Leader Protocol Checklist (PDF)
6. Small Group Dina Leader Peer and Self-Evaluation Form (PDF) Submit two peer and two self-evaluations for each group.
7. Feedback review - Certified Trainer's supervisory report of your group session. Either on-site or you may submit a videotape review. The review expects the following protocol to be met. Dina (Small Group) Leader Protocol Checklist (PDF)

Application Checklist for Certification as Classroom Dinosaur Program Group Leader

1. Application Form (PDF) This form must accompany initial submission of tape for review.
2. One-page letter discussing your interest in becoming certified, your goals plans and philosophy of effective teaching and your teaching experience.
3. Background Questionnaire - Dina and Teacher Classroom (PDF)  Confidential questionnaire about your professional background so we can improve the quality of our training workshops and materials.
4. Two letters of reference.
5. Unit Checklists (in the manual). See the Teacher Resources page for these Unit Checklists
6. Classroom Dina Teacher Peer and Self-Evaluation Form (PDF) Submit 3 teacher-child group self-evaluation forms (throughout the year).
7. Feedback review - Certified Trainer's supervisory report of your group session. Either on-site or you may submit a videotape review. The review expects the following protocol to be met. Classroom Dinosaur Protocol Checklist (PDF)

Application Checklist for Certification as a Group Leader of the Teacher Classroom Management Program

1. Application form (PDF)
2. One-page letter discussing your interest in becoming certified, your goals plans and philosophy of effective teaching and your clinical experience.
3. Background Questionnaire - Dina and Teacher Classroom (PDF) Confidential questionnaire about your professional background so we can improve the quality of our training workshops and materials.
4. Two letters of reference.
5. Satisfactory completion of co-leader/peer and self-evaluations for each workshop. Classroom Management Peer/Collaborative and Self-evaluation Form (PDF)
6. Certified mentor or trainer supervisory report or approved of workshop by certified trainer.
7. Feedback review - Certified Trainer's supervisory report of your group session. Either on-site or you may submit a videotape review. The review expects the following protocol to be met. Classroom Management Protocol Checklist (PDF)

Application Checklist for Certification as a ADVANCE Parent Program Group Leader

1. Application Form This form must accompany initial submission of tape for review.
2. Evaluations - Weekly parent and final evaluations.
3. Advance Parent Program Session Checklists for two complete groups.
4. Two Peer evaluations and two Self-Evaluations. Parent Leader Peer and Self-Evaluation Form
5. Feedback review - Certified Mentor or Trainer's supervisory report of your group session. Either on-site or you may submit a videotape review. The review expects the following protocol to be met. Group Leader Process Checklist