Trainer Application

  • MM slash DD slash YYYY
  • If you have never belonged to the BBEA before, please also complete the application for membership (https://buteykoeducators.org/register/)
  • Any declared degree or certification must be accompanied by a copy of the degree or certification.
    Drop files here or
    Max. file size: 256 MB.
    • If the evaluation was in person or you submitted a video of your teaching, select yes. Otherwise select no.
    • Please enter the name of the trainer
    • MM slash DD slash YYYY
    • You may be asked to support this number with documentation.
      Please enter a number from 0 to 999999.
    • If your trainer did not require case studies, you may be asked to write up case studies from your client/patient records. If you have written papers or presented cases at a conference or webinar, those count as completed case studies.
    • If you are a new member, this is not a requirement.
    • Please list any publications you have authored, and any webinars you have presented. Indicate case studies.
    • Max. file size: 256 MB.
    • If you are a new member applicant, enter N/A
    • If you are a new member applicant, enter N/A
    • If you are a new member applicant, we understand it may not be a BBEA conference
    • (Be in attendance and assist a Trainer at one of his/her trainings)
    • A trainer must be present in your first solo training. If you are an experienced trainer, this no longer applies.
    • Max. file size: 256 MB.