2018 Instructor Re-Certification Form
In preparation for completion of this form, I would suggest answering the questions in a Word Document and transferring your answers over here so that it may be done in one sitting.
Terms:
A $50 late fee will be charged if payment is not received on or before re-certification month (March) is over. Cost to re-certify is $125.

If forms and payment are late, you will be removed from all online instructor materials (website, FB groups, store, website, email, etc.) until all requirements are complete.

If you have circumstances that are not allowing you to complete these requirements, please contact April so that we can discuss how we can support you as an instructor (certification@birthbootcamp.com).

If you choose not to re-certify, you have three years to submit your payment, late fee, and re-certification form. The $50 late fee will apply. After three years have passed, you will be required to attend a Reboot instructor training workshop. The current fee for a Reboot is $250.

***Requirements 1 & 2 may be omitted if you attended a Reboot or Doula Training this past year. You may also omit them if you are planning to attend the Retreat coming up in April 2018. Please note that the Retreat can be used for either the 2018 OR 2019 re-certification, but not both.

Payment:
* Payment can be made via PayPal to paypal@birthbootcamp.com - Please include your Name and Instructor Number for record keeping purposes.
* Payment can also be made by check, mailed to Birth Boot Camp PO BOX 1874 Mansfield, TX 76063

First Name *
Your answer
Last Name *
Your answer
Instructor Number *
Your answer
Month and year you attended training *
Your answer
Name of your Instructor Trainer *
Your answer
1. Community Group Attendance (attend 2, this can be 2 separate groups, or 2 events/meetings of the same group) *
Required
What were the dates of the Community Group events you attended and what was covered? *
Your answer
2. Book Report: Read a book of your choice (making sure the topic is birth, pregnancy, parenting, breastfeeding) and submit a list of 3-5 things you learned from the book and how that knowledge will help you to be a better BBCI. For book suggestions from the BBC Advisory Board and Instructor Trainers, visit the .net. *
Your answer
3. Instructor Choice: Pick one *
Instructor Choice Info: Please provide the additional information that goes with your "Instructor Choice." *
Your answer
4. Mark the class(es) you taught this past year. If you have not been able to teach a class, please note that below and email April at certification@birthbootcamp.com. (Don't worry! You can still re-certify!) *
Required
5. Agree to the Birth Boot Camp Code of Conduct. In the space below, please type "I (insert your name) agree to the Birth Boot Camp Code of Conduct found on www.birthbootcamp.net." *Please note that you will be asked to sign and return a new Code of Conduct document if there is not one in your file currently. *
Your answer
6. Agree to uphold all ethics and standards as outlined in the Birth Boot Camp Instructor Handbook and Non-Compete Agreement. In the space below, please type "I (insert your name), agree to abide by and uphold the ethics and standards outline in the BBCI Handbook, Non-Compete Agreement, and policies and procedures." *Please note that you will be asked to sign and return a new Non-Compete document if there is not one in your file currently. *
Your answer
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