CTSS Training and Continuing Education Documentation Please attach all information that documents your training. For clarification, please number and number and attach all related documentation to that particular educational event. each educational This form can be duplicated if necessary. A minimum of seventy-two (72) are required for CTSS designation. Educational Educational Title of workshop or training Date/s attended Number Documentation Sponsor event provider (Educational event) of hours verification verification number (sponsors only) Example: International Crisis Intervention 6/12 and 6/13/2013 8 Certificate # 0 Critical (See attached list of specific attached Incident Stress workshops) Foundation (ICISF) Educational Educational Title of workshop or training Date/s attended Number Documentation Sponsor event provider (Educational event) of hours verification verification number (sponsors only)
CTSS Training and Continuing Education Documentation Please attach all information that documents your training. For clarification, please number each educational and number and attach all related documentation to that particular educational event. This form can be duplicated if necessary. A minimum of seventy-two (72) are required for CTSS designation. Educational event number Educational provider Title of workshop or training (Educational event) Date/s attended Number of hours Documentation verification Sponsor verification (sponsors only) Example: # 0 International Critical Incident Stress Foundation (ICISF) Crisis Intervention (See attached list of specific workshops) 6/12 and 6/13/2013 8 Certificate attached Educational event number Educational provider Title of workshop or training (Educational event) Date/s attended Number of hours Documentation verification Sponsor verification (sponsors only)
CTSS%20Application%2010.2015.docx