Associate Kagan Trainer Certification

Fill out and submit the Online Application below to apply to become a Kagan Associate Kagan.
Please do not continue with the application if you have not completed the weeklong Kagan Cooperative Learning workshop.

Online Application

First Name:

Last Name:

Title/Position:

District:

School:

School Address:

City:

State: Zip:

Country:

Home Address:

(optional)

City:

State: Zip:

Country:

Office Phone:

Home Phone:

Fax:

Email Address:

Please list all Kagan workshops you have attended. Include title of course and dates of attendance and instructor.

Course(s):	Date(s):	Instructor(s):
Course 1:
Course 2:
Course 3:
Course 4:
Course 5:

Have you been a Kagan cooperative learning trainer for your school? Yes No

If yes, how long?

If yes, list the five most recent school courses or SAM Clubs you have taught and their dates.

Course(s):		Date(s):
Course 1:
Course 2:
Course 3:
Course 4:
Course 5:

In 100 words or less, please describe what you hope to accomplish by becoming a Certified Kagan Associate Trainer:

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Letters of Recommendation

After you have submitted your online application, email two letters of recommendation to Christi Brown, Director of Associate Trainer Programs. You will be notified via email after your application and letters of recommendation have been reviewed.

Questions?

If you have any questions about this application or the Kagan Trainer Certification Program, please email Christi Brown, Director of the Associate Trainer Programs.