SWIS Facilitator Certification Training (Lansing, MI) December 2019
Event Host:

Event Location:
Hilton Garden Inn Lansing West
633 N. Canal Rd.
Lansing, MI 48917

Event Dates & Times:
* December 10, 2019 8:30 AM - 3:30 PM (lunch only)
* December 11, 2019 8:30 AM - 3:30 PM (lunch only)
* December 12, 2019 8:30 AM - 12:00 PM

Training Fee: Free to partnering ISD/Districts, $50.00 for non-partnering ISD/Districts (Calhoun ISD/MIBLSI will invoice according to billing information provided in Step 2 of the registration process). Any questions related to billing may be directed to Candace Gajdos-Drake (cdrake@miblsimtss.org).

Note: To receive certification, attendance and participation for all 2.5 days is required.
Email address *
Who should complete this form?
Completion of this screening registration form MUST be completed by the person who will be attending this training. The answers provided assist trainers in meeting the professional and educational needs of the training participants.
Training Event Attendance & Certification Requirements
Please complete the form below. Someone for the PBISApps training team may contact you if there are any questions about your answers.

Please verify that you are the person who will attend the training. *
If you are NOT the person who will attend the training, please do not complete this form.
Participant First Name *
Your answer
Participant Last Name *
Your answer
Preferred Phone Number *
Your answer
Employer/Organization Name *
Your answer
Preferred Mailing Address *
Street, City, State, Zip
Your answer
If you are in need of individualized accommodations (i.e., accessibility, dietary needs, etc.) please note them below.
Your answer
Please share information about your experience or background with SWIS. *
Check all that apply.
My employer has formally allocated time for my position to perform the duties associated with SWIS facilitation. *
Duties include coaching teams to use SWIS data for decision making and scaling up SWIS use across buildings in your district/region.
How would you best describe your professional role? *
If you answered "Other" to the previous question, how would you best describe your position?
Your answer
What is your main purpose for attending a SWIS facilitator certification event? *
If you answered "Other" to the previous question, how would you best describe your position?
Your answer
Within 6-9 months of being certified, how many schools/facilities do you plan to (a) implement SWIS with or (b) take over SWIS facilitator duties for? *
Note: the recommended ratio of facilitator to sites is 1:10.
SWIS Facilitator Responsibilities
As a SWIS facilitator, I will be able to meet with schools/facilities beginning SWIS usage at least 5 times throughout the year to (a) determine site readiness, (b) train users, and (c) meet with teams to build fluency in using data for decision making. *
As a SWIS facilitator, I will be able to provide ongoing coaching and support to the schools/facilities to which I'm assigned to (a) help maintain site readiness, (b) train new users, and (c) provide coaching and support for data-based decision making. *
I will attend all 2.5 days of the SWIS facilitator training and understand that my full attendance and participation is required for certification. *
If you responded with either “No” or “ I Don’t Know” to any of the items above, please provide a description of your anticipated role and what or who prompted you to register.
Your answer
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