Application

Apply for the SITT Certification Track

Alternative Payment Form

Personal Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Confirm Email

Professional Information

Are you in private practice or do you work with an agency? *

Private Practice
Agency
Other Arrangement

Name of practice, agency, or other practicing arrangement. *

Website of your Practice

Relevant degrees, issuing college or university, and year of graduation. *

List your college, masters, and any other advanced degrees, including school, and year completed.

Professional Certifications *

List any relevant professional certifications that are current and the year granted.

Professional Association Memberships *

List any relevant professional memberships you are currently a member of.

Completed SITT Training

Date of your completed Fundamentals of Trauma-Informed Care Course *

Date of your completed SITT Training *

Additional Training

List additional SITT training you've taken including additional times you've taken SITT, any supplementals, and any related workshops, along with the approximate date.

CV & Recommendations

Required Uploads *

Click or drag files to this area to upload. You can upload up to 3 files.

To complete your application, upload the following three documents:
1. Your current Curriculum Vitae
2. A letter of recommendation from a SITT Supervisor
3. A letter of recommendation from a SITT Trained Collegue.
These must be in PDF form.

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