NCCDP - National Council of Certified Dementia Practitioners - Alzheimer's Training, Dementia Training and Professional Dementia Certifications

Certified Dementia Support Group Facilitator™ CDSGF™ Application

 



INSTRUCTIONS:

There are three steps to become certified as a CDSGF.

1. Complete the online application form
2. View our "Revitalizing Your Support Group" power point and handouts. Take a short quiz.
3. Take the Alzheimer’s Disease and Dementia Care seminar. For more information and where to take the seminar click here.

Prior to starting your application please have ready the following document:

a resume only if you have worked LESS than 3 years at your present place of employment

The application form will automatically SAVE your entry. You will be able to return to this form to complete your application at anytime. Please note that the password you enter here is ONLY for this application form. After payment, the password will no longer work.

 
NOTICE: in order to use this application form COOKIES must be ENABLED on your browser.  For more information about enabling cookies please click here.

   

Middle Name:

Last Name:

PASSWORD:

 
Confirm Password:

Personal or Work Email Address:

Confirm Email Address: