Career Development Facilitator Workshop APPLICATION

Career Development Facilitator Workshop APPLICATION Personal and Career Development Center Sheila Johnson Center, UVA Curry School of Education SUMMER 2016 Please submit this completed form, a resume/CV, and a brief statement about why you want to take this course to Sarah Wiener at [email protected] by April 30, 2016 . You will be notified of acceptance by May 9, 2016.

NAME: ______

ORGANIZATION:______

If UVA, DEPARTMENT:______

CURRENT ROLE: ______

EMAIL:______

PHONE:______

I have read and reviewed the attached information and policies and agree:

Signed: ______Date:______PAYMENT: Payment is due upon acceptance into the workshop. Check or credit card payments are accepted between 8 – 5 pm M-F in the Curry School Sheila Johnson Clinic reception area, Bavaro Hall (building #44): http://www.virginia.edu/webmap/GMcCormickRoadArea.html). If you need to pay by phone, call (434) 924-7034 AFTER your application has been sent. This training opportunity is eligible for reimbursement through the University Educational Benefit program upon successful completion of the course. Departmental invoicing is also possible through the PTAO recovery process. For questions about other payment options, contact Amanda Flora ([email protected]). If payment is not received before Monday, June 6, admittance into the course will not be permitted. NOTE: This course is 120 hours; 40 of which must be face-to-face. The remaining 80 hours are completed online and through experiential assignments from June 1 – July 31. Access to computer and internet is essential for course completion. COST: $1100 REFUND POLICY: Partial pro-rated refunds are possible by June 1. No refunds are granted after June 19. If you fail to complete the course reasons not approved by the PCDC and Sheila Johnson Center directors, then no refunds will be allowed. In the event of an emergency, course tuition can be applied to the next available training. Each refund request will be reviewed on a case-by-case basis. COMPLETION POLICY: This course offers part of the required course that allows for credentialing as a Global Career Development Facilitator (GCDF). Additional hours beyond the course may be required. An overview of course and credentialing expectations will be discussed at orientation. For more information about the GCDF credential, visit http://www.cce-global.org/GCDF and http://www.ncda.org/aws/NCDA/pt/sp/facilitator_overview

SCHEDULE – NEXT PAGE Career Development Facilitator Schedule

DATES, TIMES, & LOCATION Orientation Monday, June 6 8:30 - Noon ONLINE COURSEWORK: June 6 – July 31, available on UVA Collab IN-PERSON on-Grounds Workshops: Monday, June 20 8:30 am – 5:30 pm

Tuesday, June 21 8:30 am – 5:30 pm Wednesday, June 22 8:30 am – 5:00 pm Thursday, June 23 8:30 – 5:00 pm Friday, June 24 8:30 – Noon

Workshops Location: The UVA Curry School of Education, 417 Emmet St., Charlottesville, VA – Sheila Johnson Center, Ground Floor Bavaro Hall