Application for ICISF Approved Instructors who wish to join the ICISF-Canada Instructor Registry.

ICISF APPROVED INSTRUCTOR REGISTRY - FOR ICISF-CANADA

This application form is for ICISF Approved Instructors who wish to join the ICISF-Canada Instructor Registry. You must complete all application fields and upload copies of certificates for each ICISF course you are certified to instruct. Once you submit your application, a team will review it and a representative from ICISF-Canada will contact you regarding the next steps. Please provide the representative up to two weeks to contact you once you submit your application.

First Name

Last Name

Phone Number

Home Address

City/Town

Province/Territory

Postal Code

Work Address

City/Town

Province/Territory

Postal Code

Preferred Mailing Address

Home Address Work Address

ICISF Courses you are certified to instruct

Upload Certificates (Upload up to 8 .JPEG or .PDF files by selecting them all before uploading)

Upload Current CCISM Certification (Upload up to 8 .JPEG or .PDF files by selecting them all before uploading)

Upload Current Resume/CV (Upload up to 5 .JPEG or .PDF files by selecting them all before uploading)

Please describe your area of knowledge in working with diverse populations and cultures

Please describe your relevant experiences in Crisis Intervention

Please describe your relevant experiences as an Instructor

Message (Optional)

ICISF-Canada, Inc. Registration Privacy Policy

In submitting this form, you are agreeing to the terms of the ICISF-Canada, Inc. Terms and Conditions