What is the length of time it takes to complete the program? (e.g. number of hours/days) What is the average cost per person to complete the program? Please include an itemized budget. Please list the names of other states or organizations in which the program is formally approved. (limit to no more than five (5) states or organizations, but list total number, if desired) Include the length of time in partnership and the organization’s point-of-contact. How many certified trainers of the program do you currently have available to deliver training in MS? If you are in MS what districts/organizations have you trained? Also, discuss the process for becoming a certified/recertified trainer (including cost, time needed, and length of certifications) Additional Information: Please discuss any other items you feel are important for reviewers to know about the program and/or company. Capacity in other states? Outcomes? Delivery Method? Please read the following disclaimers and initial acceptance. Initials I certify that all of the information is true and accurate and that I am an authorized representative of this program/company. I certify that, if approved by the Mississippi Department of Education (MDE), trainers of this program will follow the protocol as outlined in Miss. Admin. Code Pt. 3, Ch. 38, R. 38.13. I understand that MDE has the authority to revoke approval, at any time, should it be discovered that this program is not operating in accordance to Miss. Admin. Code Pt. 3, Ch. 38, R. 38.13.
What is the length of time it takes to complete the program? (e.g. number of hours/days) What is the average cost per person to complete the program? Please include an itemized budget. Please list the names of other states or organizations in which the program is formally approved. (limit to no more than five (5) states or organizations, but list total number, if desired) Include the length of time in partnership and the organization’s point-of-contact. How many certified trainers of the program do you currently have available to deliver training in MS? If you are in MS what districts/organizations have you trained? Also, discuss the process for becoming a certified/recertified trainer (including cost, time needed, and length of certifications) Additional Information: Please discuss any other items you feel are important for reviewers to know about the program and/or company. Capacity in other states? Outcomes? Delivery Method? Please read the following disclaimers and initial acceptance. Initials I certify that all of the information is true and accurate and that I am an authorized representative of this program/company. I certify that, if approved by the Mississippi Department of Education (MDE), trainers of this program will follow the protocol as outlined in Miss. Admin. Code Pt. 3, Ch. 38, R. 38.13. I understand that MDE has the authority to revoke approval, at any time, should it be discovered that this program is not operating in accordance to Miss. Admin. Code Pt. 3, Ch. 38, R. 38.13.
application-for-certification-of-programs-for-restraint-and-seclusion_20170821163135_778419%20%281%29.docx