ATSS - Association of Traumatic Stress Specialists

ATSS Endorsement Application Form

Please use the form below to provide us with as much information as possible and we'll get back to you with either acceptance or non-acceptance and any payment options.

Date of submission:

Name of submitter:

ATSS Membership #:

Address:

Telephone #:

E‐mail address:

Part I: Proposed Training, Workshop or Course Information

Title of proposed training, workshop or course:

Brief description of the proposed training, workshop or course:

Learning Objectives:

Location, date, and time of the training, workshop or course:

If this training, workshop or course is being offered online, please provide the access information (e.g., website or links):

Please provide an estimate of the time it will take to complete this training, workshop or course in hours and include the start and end dates if applicable:

Who would benefit from taking this training, workshop or course (e.g., target audience)?

What is the fee for this training, workshop or course and preferred method of payment?

Part II – Presenter(s) Information

Please list the name(s) of the presenter(s) and title/affiliation if applicable:

Please provide a brief biography or CV of the presenter(s) (50 to 100 words). For multiple presenters please email to admin@atss.info under separate cover. NOTE: All biographies or CVs must accompany this application before it is processed.

Please provide contact information for the primary presenter ONLY if this is different from the information provided at the top of this form (include name, telephone number and email address):

Does your proposed training, workshop or course qualify (or been approved) for Continuing Educational Credit (CEUs) by a recognized professional certification organization, board of other recognized organization?

No Yes

If YES, please indicate the organization:

Please note: ATSS does not provide Continuing Education Units.

Part III: Payment Information

All applications for endorsement of training(s), workshop(s) or course(s) must be submitted at least sixty (60) days in advance of the start date to the ATSS office.

The fees for endorsement and listing on the ATSS website are as follows:

Non‐members: $75 for each training/workshop/course as approved.
ATSS members: 2 free listings within a 6‐month membership term. Subsequent listings are $50 per training, workshop or course.

You will be contacted by a member of the Professional Development Committee upon acceptance in regard to payment options.

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