Community Resiliency Model ® Teacher Training Course Application - Rowan County
Rowan County is excited to embark on a journey to address and improve mental health through building capacity within all sectors to foster a resilient community.

The Community Resiliency Model™ (CRM) of the Trauma Resource Institute trains community members to not only help themselves but to help others within their wider social network.

The primary focus of this skills-based, stabilization program is to re-set the natural balance of the nervous system. CRM skills help individuals understand their nervous system and learn to read sensations connected to their own well-being, which CRM calls the “Resilient Zone”.

CRM’s goal is to help to create “trauma-informed” and “resiliency-focused” communities that share a common understanding of the impact of trauma and chronic stress on the nervous system and how resiliency can be restored or increased using this skills-based approach.

Instructions: Please fill out the questions to the best of your ability with transparency and honesty. Please enter your name (sign) the bottom of the form and have your supervisor enter their name as a show of their signature as well. By submitting below, your supervisor and organization is committing to providing the appropriate resources, including time, for you to be successful.
Email address *
Name *
Your answer
Organization *
Your answer
Job Title
Your answer
Phone Number *
Your answer
Have you attended any information or training session related to CRM? *
Why do you want to become a CRM® Teacher (who/what is motivating you)? *
Your answer
Why are you a good candidate for this training? *
Your answer
Do you have any other teaching experience (not required)? If so, how will this help you in becoming a CRM teacher? *
Your answer
Co-teaching is a requirement of CRM® Teachers. How comfortable will you be coteaching? Will you be comfortable go-teaching with members of other agencies and systems *
Your answer
What are some pros and cons of working with a partner? *
Your answer
CRM® Teachers often work with many different populations and groups. Do you have any specific training, personal, or professional experiences you believe would positively impact your ability to teach CRM® Skills to others? *
Your answer
Are you able to committ to the full 5 days of training? *
Can you commit to two follow up sessions within three months of the training (available via Skype) *
Can you commit to completing the self-evaluation and submitting it to the CRM MasterTrainer within 60 days of completing the training? *
Do you have the capacity to use DropBox? *
Can you commit to two trainings, outside of your organization, within 1 year timeframe? *
Can you commit to collecting and providing data to show CRM success in Rowan County? *
Do you need a scholarship to attend? *
If the financial obligation is going to prevent you from attending, please explain. A limited number of scholarships may be available.
Your answer
Signature of Application (by filling in your name you are signing this document) *
Your answer
Signature of highest level of authority within your agency (by filling in your name you are signing this document) *
Your answer
A copy of your responses will be emailed to the address you provided.
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