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Bridges Out of Poverty Trainer Certification

Eye Opening Learning Welcome! The information contained in this form will be submitted to the staff members of aha! Process, Inc. After submitting pre-registration, you will hear from an aha! Process representative in 2 to 7 days.
Please Note: this is a pre-registration action only, and does not confirm a seat in class. Payment must be received by aha! Process, Inc. to reserve a seat. When the seat is reserved you will receive confirmation. You will receive confirmation of pre-registration within 2 business days. If you wish to purchase materials at the workshop free of tax, we must have your tax exempt form on file before the workshop. You may fax it to 281-426-8598.

Prerequisite: Attendance at a one-day training in A Framework for Understanding Poverty, a one-day training for Bridges Out of Poverty, or listening to Framework audiotapes prior to the training."

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Bridges Out of Poverty Trainer Certification
Trainer Agreement
To ensure your success as a trainer of Ruby Payne's work on poverty we require your participation in a joint agreement between yourself and aha! Process, Inc., as outlined in the TRAINING AND LIMITED LICENSE AGREEMENT. A copy of this agreement form will be emailed to aha! staff members, along with the registration information you provide below.

After reviewing and agreeing to these terms, please take a moment to provide the information in the form that follows. Please be sure to note and include all of the required fields. aha! Process, Inc. thanks you in advance for your attention to this agreement. You may also wish to read over our Privacy Policy.
Seminar Title Bridges Out of Poverty
Workshop, Location & Date
Title: Mr. Ms. Mrs. Dr.
First & Last Name
E-mail Address
Mailing Address
City
State/Province
Country
ZIP/Postal Code
Home Phone
Organization or School District
School Name (if applicable)
Organization Mailing Address
Organization City
Organization State/Province
Organization Postal Code
Organization Phone
Organization Fax
Position with Organization
I am taking the Training Certification Workshop for the purpose indicated below.
  Non-Certification -Information and knowledge only
    (I will not be providing the training to anyone else.)
Certification as a Trainer
I, as a TRAINING PARTICIPANT, understand that by paying for this training workshop, I have read and agreed to all of the terms and conditions outlined in the TRAINING AND LIMITED LICENSE AGREEMENT; furthermore, I understand that I will be held personally liable and the institution which I represent will be sued for breach of contract if I violate any of the conditions.
The normal scope of my position requires me to work at the State level.
Yes No
Prerequisite completion
I attended the full-day Bridges Out of Poverty workshop with a consultant from aha! Process or with a certified trainer within my organization.
I agree to listen to the Audio Workshop Kit – Bridges Out of Poverty prior to this training. (This must be ordered separately.)
I attended the full-day Framework for Understanding Poverty workshop with a consultant from aha! Process or with a certified trainer within my organization.
I attended the Framework for Understanding Poverty National Tour.
I agree to listen to the Audio Workshop Kit - A Framework for Understanding Poverty prior to this training. (This must be ordered separately.)
Payment Amount
Payment Method
Make payment to aha! Process, Inc.
P.O. Box 727
Highlands, TX 77562
Questions or request for more information:
After completing the form, press the submit button below.
Thank you for taking the time to pre-register.