ACE Interface Master Trainer Application

Street Address Address Line 2 City State ZIP Code

YES, I can attend the entire training (in a central location in the state, likely the Syracuse area) which will be held from 8:30 am until 5:30 pm - tentatively scheduled for April 28 and 29, 2020.

YES, I am happy to participate in activities designed to support the initial learning community of 25 individuals in becoming certified to train speakers. These may include one or two face-to-face events in New York during the course of the first year after the initial training in April, and may also include telephone or internet-based opportunities to learn from the 24 other people who are becoming ACE Interface Master Trainers as part of the learning community that will be formed following the training in April, 2020.

Max. file size: 10 MB.

Attendance:Please affirm that you are able to attend the full two-day training and other applicable activities/meetings/events below: