Form Ddd-1691a - Article 9 Instructor Application Packet (Page 7 of 8) in pdf

--DEPARTMENT

O F -

ECONOMIC SECURITY

DDD-1691A FORFF (11-17)

Page 7 of 8

Division of Developmental Disabilities

Article 9 Certified Instructor Responsibilities and Requirements

Preparing for Certification

•

I verify the instructor application packet I have submitted to the Division of Developmental Disabilities (DDD,

the Division) is complete and accurate.

•

I am affiliated with DDD or an agency with a vendor relationship to the Division.

•

I understand certification requires that I am trained by a Master Article 9 Trainer.

•

I understand certification requirements include completing a standard Article 9 test without utilizing course

materials at 100%, completing an instructor test at 80%, and completing a practical teaching test at 100%.

Course Delivery upon Certification

•

Once certified I will be able to train class participants (staff, providers, family members, etc.). I will not be able

to certify Article 9 instructors.

•

I will provide training through face to face contact. I will provide handouts, examples, verbal instruction,

answer questions, and use other methods and media as appropriate and available.

•

If administering the Professional Self-Study, I will follow the Training and Testing Guidelines for Article 9.

•

Classes will be a minimum of 3 hours in length to allow adequate time for effective training and testing procedures.

•

Class participants will take the test individually under supervision, and pass the test at 80%. Tests will be

“open book,” allowing participants to use their class materials.

•

I will make reasonable accommodations to administer tests to those persons who may have difficulty completing

a written test, such as administering tests orally, using sign language interpreters, etc. As needed, I will consult

with Master Article 9 Trainers regarding test accommodations.

•

I understand that I cannot alter, enhance or supplement class materials without prior consultation with the DDD

Training Department.

Requirements for Certified Instructors

•

I agree to periodic review and observation of my classes by a Master Article 9 Trainer.

•

I will participate in periodic surveys of knowledge.

•

I will train at least one class every six months.

•

I will maintain my own records of training and certification, and will provide a copy of these records upon request

to DDD and/or the certifying Master Article 9 Trainer.

•

With 30 days of course completion, I will submit class sign-in/rosters to DDD.

•

I will notify DDD if I change agencies prior to delivering training in the new circumstances.

•

I understand my certification is valid for 3 years, and requires recertification by a Master Article 9 Trainer.

I understand it is my responsibility to contact a Master Article 9 Trainer to arrange for recertification.

I have read and agree to the requirements and responsibilities to maintain certification as an Article 9 instructor.

I understand that failure to abide by these requirements can result in immediate revocation of my certification,

and that my employer, contracting agencies and Division monitoring staff will be informed if this occurs.

CANDIDATE’S NAME (Please Print)

SIGNATURE

DATE

Form Ddd-1691a - Article 9 Instructor Application Packet Page 7

Related Articles

Related forms

Related Categories