Training Application

    Montana Early Care and Education Career Development
    Training Approval Application

    Please submit a separate application for each training event.
    If you are repeating a previously approved training, please submit an
          Application for Previously Approved Training.

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  Please return to:
  Montana Early Childhood Project
  Montana State University
  P.O. Box 173540
  Bozeman, MT 59717-3540
  1-800-213-6310
  fax: 406-994-7555
  email: ecp@montana.edu
  web: www.montana.edu/ecp

Name of sponsoring agency

Address of sponsoring agency

Street City Zip

County

Name of sponsoring agency contact

Phone

Fax

Mail certificates to (if different from sponsor)

Name

Street City Zip

Name of instructor/trainer

Job title of instructior

Title of training

Is this an ongoing event (where enrollment is available over a period of months)?

Yes No

If this event is being offered MORE THAN ONE TIME (same or different location) you must enter a start date, end date, city and county for each date the event will be offered.

Please specify the total number of dates this event will be offered:

Total hours of instruction time

(at least 2 hours)

Training Funded By (check only ONE)
CACFP	Certified Infant/Toddler
CCR&R State Contract	Specialized Training Grant
CCR&R Network Contract	Other
Mentoring Grant

List learning objectives or outcomes of training.

Is the training open to the public? (If no, this event will not appear on the statewide Training Calendar)

Yes No

Please check only ONE Montana Early Care and Education Knowledge Base area on which this training will primarily focus. The equivalent Child Development Associate (CDA) content areas are noted for your information.

Knowledge Base (check only ONE)	CDA Content Areas
Personal Attributes
Cultural and Developmental	Strategies to establish productive relationships with families
Health, Safety and Nutrition	Planning a safe, healthy environment to invite learning
Child Growth and Development	Principles of child growth and development
Environmental Design	Planning a safe, healthy environment to invite learning
Child Guidance	Positive ways to support children's social and emotional development
Family and Community Partnerships	Strategies to establish productive relationships with families
Program Management	Strategies to manage and effective program operation
Curriculum	Steps to advance children's physical and intellectual development
Observation and assessment	Observing and recording children's behavior
Professionalism	Maintaining a commitment to professionalism

Target Audience (check all that apply)

Center-based staff	Home visitors
Center-based administration	Parents
Family or group child care home provider	Legally unregistered providers
Preschool staff (part-day program)	High school students
Head Start	Other child and family program staff
Public and/or private school (pre-K-3)	School-age program staff
In-service training (for program staff only)

Level of Training - For what level of practitioner was this training developed? (check only ONE)
Beginning (Practitioners not yet aware, developing an understanding, beginning to apply knowledge and skills)
Intermediate (Practitioners frequently / consistently applying knowledge and skills)
Advanced (Practitioners with thorough knowledge, ability to modify, evaluate, synthesize; who are fostering growth, exercising leadership, and advocating)

Training Type:
On-Site (Trainer works in learner's facility)
Classroom (Trainer works with group of learners in classroom or workshop setting)
Distance Learning (Correspondence or On-Line Course)

Training Methods (check all that apply for this session)

Panel discussions	Self- or program assessment
Technical assistance	Demonstration and practice
Independent study with supervision	Small group discussion
Audio/video with facilitation	Hands-on activities
Visual aids	Observation of children
Materials display	Role play, simulations
Handouts, printed material	Lecture
Case studies

Electronic Signature