ProLiteracy Worldwide
ProLiteracy America - Trainer Certification
Online Recertification Application Form
 
Step 1
Organization Info
| Step 2
Organization Rep Info
| Step 3
Trainer Info
| Step 4
Payment Info
| Step 5
Done

Note: This application should be completed by the representative of the endorsing organization. Once this application is processed by the ProLiteracy America training department, both the organizational representative and the trainer will receive notification via email.

Organization Information
Organization Name

ProLiteracy Member?
Yes     No

Address

City State Zip

Phone

Fax

E-mail

Web address

           

Download a printable copy of this application (PDF) to print, complete, and submit via mail to:

   ProLiteracy America
   Training Department c/o Tammie Roberts
   1320 Jamesville Ave.
   Syracuse, NY 13210

 

 

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