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Certification - Level II - Internship Approval
Creative Motion Alliance, Inc.
Application for Level II Advanced Certification
in Creative Motion Teaching
LEVEL II INTERNSHIP PROGRAM APPROVAL
(Appendix C)
To apply you may complete the online form below, or
download
and complete the application form and mail to chair of the Certification Committee.
Date :
NAME
Salutation:
Mr. - -
Mrs. - -
Ms. - -
Dr.
First :
Last:
Address and Contact Info
Mailing Address - Street Address:
City / Town :
State / Province :
Zip
Phone:
Other Phone:
E-mail 1:
E-mail 2:
Internship Program Topic:
Internship Program Goals:
Internship Program Timeline, including completion date
Internship Program Sponsor
Internship Program Printed or Recorded Results
Responsiblities of Applicant
Responsibilities of Sponsor
If you wish to retain a copy of this form for your own records, please print this prior to pressing the Submit button.
This application will be reviewed by the Creative Motion Alliance's Certification Committee.
You will be informed of the committee's decision in a timely manner.
Certification Area
>
Certification
Handbook
(PDF - 416K)
>
Certification Forms
(PDF - 124K)
>
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Current Certificate Holders
Online Application Forms
Level I -
Basic Certification
Level I -
Renewal
Level II -
Internship Approval
Level II -
Advanced Certification
Level II -
Renewal Activities Approval
Level II -
Renewal
Level III -
Activities Approval
Level III -
Professional Certification
Emeritus Application
Level II and III Time Extension Application
Page last updated:
July 30, 2010 11:35 PM