ADRD Curriculum Approval Application

ADRD Curriculum Approval Application

Any curriculum used for training purposes in licensed care settings in the state of Florida must be approved by The Department of Elder Affairs in accordance with the specific requirements for each care setting. Approved curricula are valid for three years from the date of approval.

ATTENTION:

All file uploads must be labeled appropriately by indicating what their content contains to undergo the review process. If any mislabeled files are included in your submission, then your application will be deleted from our records without further correspondence.

Curriculum submitted that bears obvious signs of being AI-generated will receive an emailed notice that the submission will be deleted from our records and you will need to re-apply. Content must be submitted in plain, understandable language appropriate for the training audience.

No physical material, such as DVDs, cassettes, CDs, or other related material will be accepted. All curricula and supplemental material must be submitted electronically (video links, MP4 files, PDFs, Word documents, etc.).

The contents of this online application form are written in accordance with DOEA Form ADC/ADRD-002, DOEA Form ALF/ADRD-002, DOEA Form HH/ADRD-002, DOEA Form Hospice/ADRD-002, and DOEA Form ADRD-002.

Contact Information:

Name Prefix*

Select

First Name*

Last Name*

Phone Number*

Phone

Email*

Company Name*

Company Address*

If you work for a company with multiple locations, please enter the address where you work, or the primary address.

City*

State*

Select

ZIP Code*

County*

If you are an out-of-state applicant, please select that option from the drop-down list.

Select

Curriculum Information:

In what language is this curriculum being taught?*

Select

The curriculum being submitted is intended for which care setting?*

NOTE: only one curriculum per care setting may be submitted at a time. If you would like to submit multiple curricula for review, you must create a new application for each care setting.

Select

Please indicate the level of training being submitted:*

NOTE: The Department of Elder Affairs now provides the initial one-hour training via our website. Alternative one-hour curricula will no longer be reviewed or approved.

Hospice agencies, who were unaffected by 430.5025 F.S., may elect to submit their own one-hour curriculum if desired. All other care settings must use the Department's one-hour training.

Select

In what instructional format will this curriculum be presented?*

NOTE: For online or self-study material, you must have an approved trainer available for questions and to sign off on participants' completion certificates. Your trainer must be documented in your uploaded content.

Select or enter value

Please explain:

Please upload your curriculum material for review:*

This may include but is not limited to: presentation slides, scripts, screenshots, handouts you may use, video links, pre- and post-tests, etc.

All file uploads must be labeled appropriately to undergo the review process. If any mislabeled files that do not indicate what their content contains are included in your submission, then you will receive an emailed notice that your submission will be deleted from our records and you will need to re-apply.

Drag and drop files here or

IMPORTANT:

By submitting this application, I certify I have carefully read its contents and all provided information is true and correct to the best of my knowledge. If this application was submitted incorrectly or contains copyrighted material, I understand it will be automatically disapproved.

Submitting this application is hereby representative of my electronic signature.

Send me a copy of my responses

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