Facilitator MANUAL Certification

First Facilitator Plan

Name *

Email address *

Explain why you want to be a certified facilitator *

Who do you hope to serve? *

Where do you plan to facilitate? *

How do you plan to introduce The Story We Leave to your community? *

Complete this statement: As a Certified The Story We Leave Facilitator, I will ... *

Signed: *

Certification Application

Name *

Email address *

Phone (optional)

Date *

Certification Statement: I understand that The Story We Leave™ manuals, forms, worksheets, training materials, trademarks, and certification program are protected intellectual property. *

True

I understand certification is awarded only after review and approval by Debb Daughtry. *

True

I agree not to copy, reproduce, distribute, teach, sell, or create derivative training programs using these materials without prior written permission from Debb Daughtry. *

True

I personally completed The Story We Leave™ Facilitator Certification Program. *

True

The work submitted is my own. *

True