Instructor Application Form

Effective May 2005, any instructor who wishes to be approved, must complete the Train the Trainer NCCDP Course. The NCCDP will review each application on a case by case basis. The Train the Trainer course is a one day course. The course includes all the materials needed to present a comprehensive Alzheimer's and Dementia Seminar to long term care professionals. The course includes: Overhead copies/Course Manual, Power Point Presentation, Handout Notebook, Text Books, and Communication Video. The schedule for 2006 and 2007 Train the Trainer is posted on the web site. Please contact us if you have any questions at nationalccdp@aol.com or 1 877 729 5191. Please note you must complete both the CDP application and the instructor application. All forms must be submitted together.

How to become an authorized instructor.

To apply as a NCCDP approved instructor, the applicant must meet the following credentials:

1. Certified or licensed in a health care profession
2. Bachelor’s degree or higher from an accredited college or university and or LPN or RN
3. A minimum of 5 years experience in a health related field/profession within the past 7 years
4. Minimum 3 years experience as a geriatric health educator and/or an instructor in geriatric health care

Instructor Application Form

Instructors who are currently providing seminars and workshops in the area of Dementia / Alzheimer’s will find an added bonus in offering the students the opportunity to obtain certification once completing your seminar.

Once you have been approved to teach the Dementia Seminar, your name and name of company will be posted on the web site under the states you wish to be advertised for. Once approved, you will be provided a certification number which must be clearly posted on all of your certificates of attendance.

The certification number is good for two years. At the end of two years you will need to resubmit for another two years. You will complete the renewal form. Two months prior to the expiration of your certificate, you will receive a reminder from this organization. Your application must be in by the deadline. If you miss the deadline and do not contact us, we will assume you are no longer teaching the course and will remove your name and company name from the web site.

If you wish to proceed, simply fill out the application, and attach all required documents. Incomplete applications will not be reviewed. Please check back on Tuesday Februrary 14 as we are uploading new and revised forms.

instructors . approved instructors . be an approved instructor . Renewal form