Trauma Informed Certification for Organizations Interest Form

Trauma Informed Certification for Organizations Interest Form

Submit this form to initiate contact with The Ecumenical Center as the certifying entity for trauma informed organizations and the Institute for Trauma Informed Care as the training provider. Forms and procedures to become a certified trauma informed organization will be shared following this interest form.

Organization Name*

Organization Sector*

Please select the sector most aligned with your organization's purpose, mission, and/or customer.

Select

STTIC Workgroup Active*

Does your organization participate actively in the South Texas Trauma Informed Care Workgroup for your sector?

Select

Number of Employees*

Primary Contact First Name*

This person will be contacted by The Ecumenical Center (to explain the certification process) and the Institute for Trauma Informed Care (to offer training).

Last Name*

Job Title*

Phone Number*

Email*

Address*

City*

State*

Zip Code*

Applying for Certification Level*

Choose the level of certification for which your organization intends to apply.

Select

Leadership Commitment

Upload evidence of the agency's leadership commitment to becoming a trauma informed organization. This may be a letter, memo, approved plan, employee communication, web page, video, or other document.

Drag and drop files here or

Send me a copy of my responses

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