New 2007 Exam Objectives

Instructors 

CI Program Application

Please complete all the questions on this application. This information will be sent to the CTP Certified Instructor Program when you press "Submit".

* Required fields

* First Name:
   Middle Name:
* Last Name:
* Mailing Address 1:
   Address 2:
* City:
* State/Province:
* Postal Code:
* Country:
* Phone Number:
   Fax Number:
* E-mail Address:

Employer Information: (if you are not an independent contract trainer)
 
   CTP ATP ID Number:
* Company Name:
* Mailing Address 1:
   Mailing Address 2:
* City:
* State/Province:
* Postal Code:
* Country:
* Phone Number:
   Fax Number:

I would like to be added to a contract CTP Instructor list that will be made available to current CTPs

* 1. Have you completed the CTP Certification Agreement? Yes No
If not, you will need to do so after completing this application.

* 2. Do you have proof of your Instructional skills? Can include technical trainer (e.g. MCT, CTT+, CNI) certificate, train-the-trainer certificate from an authorized provider, state-accredited teaching certificate, or letter of recommendation from your current employer. For details on acceptable forms of documentation, please see the CTP Certified Instructor (CTP CI) Program Guide. Yes No
Please send all documentation via fax to the CTP Certification Department at +1-602-794-4190

* 3. Have you passed the CTP Exam TT0-201? Yes No
This will be verified by the CTP Certification Department. If you have not passed this exam yet, your application will be placed on hold. Please notify us when you have passed the exam.

I verify the content of this form to be accurate and complete to the best of my knowledge.