Alaska SEED Trainer Approval Application
To translate the form into Spanish or another language (
Para traducir el formulario al español u otro idioma):
Open the form using Google Chrome web browser.
Download Chrome here.
(Abra el formulario con el navegador web Google Chrome.
Descarga Chrome aquí
.)
Anywhere on this form, right click and you will see a drop-down menu. (En cualquier lugar de este formulario, haga clic con el botón derecho y verá un menú desplegable.)
Select “Translate to …” (Selecciona "Traducir a ...".)
Choose the language you would like it to be translated to. (Elija el idioma al que le gustaría que se tradujera.)
Repeat steps 2-4 on each new form page. (Repita los pasos 2 a 4 en cada nueva página de formulario.)
A. Application Type
Is this an initial or renewal application?
Initial
Renewal
Is this a provisional or basic application?
Basic
Provisional
Click here
for full requirements of each trainer type.
B. Contact Information
First Name
Middle Initial
Last Name
Organization/Affiliation
Phone
Email
Website
Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code (5-digit)
Are you on the Alaska SEED Registry?
Basic and Provisional
trainers must enroll in the Alaska SEED Registry to become a SEED Approved Trainer. If you are not a member of the Alaska SEED Registry, go to thread-alaska.my.site.com/portal/s/login/
Yes
No
SEED Level
SEED Expiration Date
C. Training Received
At least six hours of training or coursework in Principles of Adult Learning (PAL) which address all of the four content areas:
Best practices in adult education
Instructional design
Facilitation
Assessment for adult education
Training Title
Training Date
Training Organization
Hours/Credits
D. Documentation
Please submit a copy or proof of qualifications meeting current license, certificate, or transcript of training or coursework below:
Upload file
E. Statement of Understanding
By submitting and signing this application:
I certify that the information on this application is true and accurate to the best of my knowledge.
Signature
Date
Applications will be processed in order of receipt within 30 business days.