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Instructor Information
Please provide your information so we can include you in emails, and our WhatsApp group.
Name
*
First
Last
Email
*
Phone
Address
*
Address Line 1
City
State / Province / Region
Postal Code
— Select country —
Afghanistan
Albania
Algeria
American Samoa
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Angola
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Antarctica
Antigua and Barbuda
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Armenia
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Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
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Colombia
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Congo (Democratic Republic of the)
Cook Islands
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Croatia
Cuba
Curaçao
Cyprus
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Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
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Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Guinea
Guinea-Bissau
Guyana
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Heard Island and McDonald Islands
Honduras
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Hungary
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India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Instructor Qualifications
While we will provide training and support, there are some minimal pre-requisites we want our instructors to achieve before they can become instructors. By providing us your baseline information, we can make sure to provide you with the appropriate level of support.
How long have you been an IBA (or BCBA)?
*
–Select Choice–
Less than 1 year
1-3 years
3-5 years
More than 5 years
Not an IBA
Note that if you are not an IBA or BCBA/BCaBA you will not be able to become an instructor at this time.
What is your experience delivering courses/trainings?
*
–Select Choice–
I have never trained others
I have been training others less than 1 year
I have been training others for 1-3 years
I have been training others for 3-5 years
I have been training others for more than 5 years
Note that if you are not an IBA or BCBA/BCaBA you will not be able to become an instructor at this time.
Have you ever been an IBT or RBT?
*
Yes
No, and I didn’t take the 40 hour course
No, but I took the 40 hours course
IBT Course Plans
As part of the instructor training process, we will help you set up your cohorts and enroll individuals, so you do not have to do anything now, except provide us with your initial plans.
When do you plan to launch a course?
*
–Select Choice–
As soon as possible
Within 1-3 months
Within 3-6 months
How many enrollees do you expect in your first cohort?
*
–Select Choice–
2-5
6-10
>10
Who will enroll in your course?
*
–Select All That Apply–
My own employees
My company’s employees (if you are not owner)
Potential new employees
Anyone interested
IBT Supervised Fieldwork Plan
IBTs cannot practice on their own, so while we may be able to offer the 40 hour course, we should not offer supervised fieldwork and candidate skills tests unless we have a plan for continued supervision after the IBT Candidate passes their exam.
What are your supervised fieldwork plans?
*
–Select All That Apply–
I’m going to offer it
A colleague will offer it
I won’t offer it
Provide some details about supervised fieldwork plans.
*
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