ATP Tutor Trainer Application Form

ATP Tutor Trainer Certification Application

 

All certification applications should be typed.  Please do not submit handwritten forms.

 

 

Name to be printed on certificate: 

_________________________________________________________

Mailing Address:  ____________________________________________________

City:  ________________________State:  ________Zip Code:_____

Phone Number:  _________________________________________ 

Fax Number:  ___________________________________________

E-mail Address:  _________________________________________________________

Name of Institution/tutor program:  _________________________________________________________

_________________________________________________________

Certification

New

Renewal

Tutor Trainer*

$40.00

$20.00

Master Tutor Trainer*

$50.00

$25.00

 

*Tutor Trainer and Master Tutor Trainer certification please e-mail to:       

Ms. Beth Nikopoulos

Please e-mail application for certification and all verifying documents to bnikopoulos@dcccd.edu

 
Please send all certification fees to:
 
Association for the Tutoring Profession
PO Box 198
Madison, NY 13402
 
OR pay through the secure website by credit card or Paypal.
 
ATP Secure Website
 
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