Trauma Informed Specialist Application
Thank you for your interest in the Trauma Informed Specialist Certification Program (TIS)! This program is designed to address the needs of educators and administrators by providing tools for supporting students who experience trauma and practicing self care in order to promote resiliency. By completing this certification you will be able to coach others to build Trauma Informed Schools using available resources.
The TIS program is designed by The Center for Cognitive Diversity and consists of 4 graduate level courses delivered over the course of 10 months with Continuing Education Semester Units available through CSUEB.
Our upcoming courses begins May 2021.
1. Principles of Trauma for Educators (3 units) - hosted on one Saturday of the month
2. Reflective Supervision for Educators (1.5 units) - selected by the participant from a list of available times
3. Trauma Supportive Schools (3 units) - hosted in 2021 - dates to be determined
4. Advanced Trauma Informed Reflective Supervision (1.5 units) - hosted in fall 2021
See full scope and sequence here:
Completing this form indicates you are interested in reserving a spot in the 2021 Spring cohort. Thank you!
Emily Santiago, LEP, NCSP
Founder and Director
The Center for Cognitive Diversity
Full Name (First and Last)
City, State, Country, Postal code
What pronouns do you prefer to use?
She, her, hers
He, him, his
They, them, their
Ze, zir, zirs
Ze, hir, hirs
Please list your job title and current credentials.
Educational History: List any colleges or professional schools attended.
Describe your background and experience in education.
Explain why you are interested in becoming a Trauma Informed Educator.
What are your professional goals once you have completed the certificate as a Trauma Informed Educator?
What are you interested in receiving?
Certificate and Graduate Credits (up to 9 semester units)
Certificate and Continuing Education Units (CEUs for Licensure)
The cost of our 10 month program is $2500. Participants can receive CSUEB graduate credits for an additional $134 per graduate unit (9 semester units=$1206). Payment for graduate credits are due separately to CSUEB at the completion of each course if you are seeking credit. How do you plan to pay for the program?
Check for the full amount prior to start date ($2500)
My employer will cover the cost of the program
Request a monthly payment plan of $255 a month for 10 months
I plan to join with a coworker and request a 10% discount. ($2250)
I am registering for Trauma Informed Reflective Supervision only ($400 for 5 months)
Tuition Policy: I acknowledge this program registration represents a financial commitment for the 10 month period of the Trauma Informed Specialist program (minimum 5 months for Reflective Supervision) . By checking this box, I agree to pay for the program in full in the next 10 months. Refunds are available if a participant withdraws before courses begin.
I agree to the terms
Questions about the program?
How did you hear about us?
A copy of your responses will be emailed to the address you provided.
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