ToP Facilitator Certification Program Application

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Congratulations on starting your journey to become a Certified ToP Facilitator. In this process, you will demonstrate your mastery of ToP competencies.

Please complete this form and submit payment as directed below to start your journey. If you have any questions, contact the National Certification Coordinator, at topcertification@gmail.com

Email *

Contact Information

First Name *

Last Name *

Address

City *

State *

Zip Code

Phone

ToP Training History

Please write the dates and locations of ToP courses that you have completed. Please note that you must have taken three ToP courses (TFM, TSP, plus one additional course) to complete your CTF.

ToP Facilitation Methods (TFM) *

Enter date and location

ToP Strategic Planning (TSP) *

Enter date and location

Please list all other ToP courses and dates.

ToP Application and Experience

Are you currently using ToP methods in your work or other settings? *

If yes, please elaborate. If no, please share plans you have to do so in the future.

Please describe your current level of comfort and experience facilitating with ToP methods. *

For example, "I am a facilitation wizard!" or "I'm just getting my feet wet".

Please describe your current comfort level of beginning to put together a portfolio of evidence of your facilitation experience and competencies. *

In other words, please share where you think you are on your facilitation journey, i.e., you're an experienced facilitator and will be able to highlight past events in your portfolio or you're new to ToP methods and you're seeking out more opportunities to facilitate for your portfolio.

Please write a concise statement of your goals and expectations for this advanced professional development experience. For example, what do you expect ToP certification to do for you? For those you work for? What do you hope will come of this? What, if any, fears or concerns do you have? *

Are you on/intending to be on the dual Journey of CTF/ToP Apprentice Trainer?

Yes

Other:

Clear selection

Support on Your Certification Journey

Do you have a primary coach for the certification process? *

Yes

No, I will work with the Certification Team to find a coach.

If yes, who is your primary coach for the certification process?

There are many supports in place to help you through your certification journey. Please select which items you are interested in below. *

Virtual Certification Cohort, a cohort that meets virtually for 90 minutes once a month March-December (no additional fee after $120 application))

Mastering the Technology of Participation (MToP), a year-long cohort with quarterly three-day-long trainings (subject to course pricing)

Joining a local Community of Practice (if there is an active one nearby)

Other:

Required

Fees

The fee for ToP Facilitator Certification is $1200 plus the personal expenses incurred for on-site observation (travel, housing, meals, etc.)

Please submit a non-refundable application fee of $120 payable to ICA-USA at the time of submitting the application. The balance of $1080 is due to ICA-USA prior to the time of assessment event. You may pay both fees at the time of application if that is preferred.

Pay the $120 application fee here: bit.ly/CertificationApplicationFee

Pay the $1080 assessment fee here: bit.ly/CertificationAssessmentFee

I have paid the $120 application fee through the link above. *

Yes

Other:

I plan to pay the remaining $1080 assessment fee: *

At the time of application - I've already paid!

Prior to assessment

Other:

Send me a copy of my responses.

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