PTC Master Trainer Application

Thank you for your interest in becoming a Powerful Tools for Caregivers Master Trainer.

Please see the requirements to becoming a PTC Master Trainer: https://www.powerfultoolsforcaregivers.org/class-leaders/

Fee due after application is accepted: $250

About You

First Name*

Last Name*

Email Address*

Phone*

Pronouns*

she/her

they/them

he/him

other

In which PTC Master Trainer training would you like to participate?*

June 4, 2025; 11 a.m.-1 p.m. CT

October 28, 2025; 10 a.m.-12 p.m. CT

Sponsoring Organization

About the organization that supports you in becoming a PTC Master Trainer.

Sponsoring Organization*

Street Address 1*

Street Address 2

City*

State/Province & Country*

Select or enter value

Name of Contact at Sponsoring Organization*

Email of Contact at Sponsoring Organization*

Your role with the Sponsoring Organization*

Staff

Volunteer

Tell Us About Your Experiences

How many PTC classes have you facilitated?*

Completion of at least four PTC 6-week class series before date of the Master Trainer Training is required to apply

Select

Start Date of the most recent PTC 6-week class you offered:*

Co-facilitating at least one PTC 6-week class series in the last 12 months is required to apply. MM/DD/YYYY

What are three reasons why you want to become a PTC Master Trainer?*

I can commit to the following requirements:*

Newly Trained Master Trainers

Newly trained Master Trainers must conduct at least one PTC Class Leader Training within 6 months of being trained.

To maintain PTC Master Trainer status, Master Trainers must:

a. Conduct at least one PTC Class Leader Training every two years

b. Maintain Class Leader certification.

c. Conduct at least one 6-week PTC class series 12 months prior to conducting the PTC Class Leader Training

If a PTC Master Trainer does not fulfill these requirements, before conducting another PTC Class Leader Training, they must:

a. Contact PTC headquarters.

b. Conduct one 6-week PTC class series 12 months prior to completing another PTC Trainer Training.

c. Repay the Master Trainer fee.

If a PTC Master Trainer has not conducted a PTC 6-week series for over 5 years, before conducting another PTC Class Leader Training, they must:

a. Complete a PTC Class Leader Training.

b. Conduct TWO 6-week PTC caregiver class series within one year after the Class Leader Training.

c. Retake the Master Trainer training.

Please indicate below if you can commit to the requirements to be a PTC Master Trainer:

Definitely Yes

Probably Yes

Probably Not

Definitely Not

Describe your experience facilitating a group of adults*

Group size, demographics, type of event, outreach, etc...

Years of group facilitation experience*

Less than one year

2-5 years

5-10 years

10 + years

Describe your experience offering PTC caregiver classes*

Number of caregiver classes, Organizations you have partnered with, Co-Class Leaders you have taught with, etc...

I need help finding someone to co-teach the PTC Class Leader Training with:*

Yes, help me.

Maybe, tell me more.

No, I am all set.

I agree to the following PTC Master Trainer Policies:*

1) Co-facilitate one PTC Class Leader Training within six months of completing the PTC Master Trainer Training

2) Notify PTC headquarters about Class Leader Training events.

3) Maintain contact with PTC headquarters and adhere to the Master Trainer Certification Agreement.

By clicking the button below, you are acknowledging your agreement to all policies laid out in the Master Trainer Certification Agreement.

I agree to the Master Trainer Certification Policies

Send me a copy of my responses

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