EmailMe Form - ACAC Accredited Training Provider

Instructions

Use this form to apply for Accredited Training Provider (ATP) status as a provider of ACAC certification exam preparatory courses. Prior to accreditation, ACAC will require that documentation supporting answers to all application items be submitted for review. All correspondence with ACAC must be conducted in English.

There is a $1,500 annual accreditation fee.

ACAC accredits training providers according to the following procedure:

1. Training provider submits complete application, documentation, and application fees.

2. ACAC grants or denies accreditation based on its guidelines, or requests additional information.

3. Accredited Training Provider publishes ACAC logo and hyperlink on website per ACAC instructions. Accreditation is contingent upon verified publication of logo and hyperlink.

4. Accredited Training Provider resubmits accreditation application annually.

SECTION 1: PROVIDER INFORMATION

Full Name of Training Provider

Primary Contact Name

First Last

Phone Number *

### - ### - ####

FAX Number *

### - ### - ####

Email Address *

Web Site *

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Physical Address (if different from above)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Need Help? Call our friendly staff at (888) 808-8381 (M-Th 7 to 4; Fri 7 to Noon, MST)

SECTION 2: TRAINING PROGRAM PROCEDURES

Answer the following questions by checking the appropriate response and explaining each answer in the space provided. Be prepared to submit documentation as requested in support of each answer.

1. Does the training provider verify the qualifications of each instructor? *

YES

NO

What qualifications are required of instructors (i.e., industry certification, field experience, etc.)? Who verifies these qualifications?

2. Does the training provider measure the effectiveness of its instructors on a
regular basis? *

YES

NO

How often is instructor performance evaluated? What method of evaluation is used (i.e., in-class audit, student survey, instructor interview, etc.)?

3. Does the training provider ensure that class sizes are limited to maintain a positive learning environment? *

YES

NO

If yes, give the student/teacher ratio. If no, explain how the learning environment is monitored (i.e., in-class audit, student survey, etc.).

4. Does the training provider ensure that each learning program is developed by experienced personnel? *

YES

NO

What qualifications are required of those who develop courses (i.e., industry certification, field experience, advanced degrees, etc.)? Who verifies these qualifications?

5. Does the training provider ensure that each learning program is designed to address specific objectives or content areas? *

YES

NO

6. Does the training provider ensure that each learning program accomplishes its
stated objectives? *

YES

NO

How are courses evaluated (i.e., in-class audit, review of recordings or presentations, review of syllabus, review of student perofmance, etc.)? Who evaluates them?

7. If examinations are used, does the training provider ensure that they are fair, valid and reliable? *

YES

NO

How are exams evaluated (i.e., psychometric analysis, student survey, review by subject matter experts, etc.)? Who evaluates them?

8. Does the training provider take measures to protect the security of the examination and any answer keys? *

YES

NO

How is exam security protected (i.e., secure electronic delivery, chain of custody, multiple forms of the test, etc.)? Who is responsible for exam security?

9. Does the training provider report exam scores to students in a timely manner? *

YES

NO

When and in what form are exam scores reported to students?

10. Does the training provider maintain student records, including exam scores and contact information, for a reasonable period of time? *

YES

NO

How long and in what form are student records maintained?

11. Does the training provider take measures to protect the confidentiality of exam scores and other student information? *

YES

NO

How is the confidentiality of student information protected (i.e., secure electronic files, limited access paper files, etc.)? Who has access to this information?

12. Does the training provider carry appropriate insurance as required for the industry in which it operates? *

YES

NO

What insurance coverage is maintained? Attach documentation of coverage in PDF or JPG format.

Upload documentation of insurance coverage here:

13. Does the training provider administer certification programs or allow those who complete its courses to refer to themselves as “certified”? *

YES

NO

If yes, list names and acronyms of all certifications offered.

Need Help? Call our friendly staff at (888) 808-8381 (M-Th 7 to 4; Fri 7 to Noon, MST)

ACCREDITATION FEES

Annual accreditation fees are $1,500.

Pay accreditation fees online at the ACAC website. You may also send a check or money order payable to: American Council for Accredited Certification, PO Box 1000 Yarnell, AZ 85362.

AFFIDAVIT

As a representative of the training provider named in Section 1 of this application, I hereby apply for accreditation as an Accredited Training Provider (ATP). In addition, I make the following statements::

Check each box and sign below

*

All courses offered by the training provider named in Section 1 above are developed and administered according to the procedures described in Section 2 above.

*

I understand that to maintain accreditation, the training provider must publish the ACAC Accredited Training logo, title and a hyperlink to ACAC on its organization website and must maintain this link throughout the accreditation term.

*

I understand that the learning provider may use the ACAC Accredited Training Provider logo on all forms of marketing.

*

I understand that the logo, title and hyperlink must be removed from the provider website immediately if accreditation is terminated for any reason.

*

I understand that ACAC reserves the right to publish the names of training providers whose accreditations are revoked or suspended due to breach of this agreement.

*

I understand that ACAC may deny reaccreditation to any training provider against whom an official complaint has been unresolved for more than six months.

Name of Training Provider Representative

Signature *

Clear

Sign with mouse, touch pen or fingertip as supported by your computer.

SUBMITTING YOUR APPLICATION AND NEXT STEPS

When you click Submit below, your application will be sent to ACAC and copied to your primary email address. Please check the boxes below to indicate you understand the next steps in the accreditation process.

*

I understand that my response to the verification email is necessary for processing my application.

You will receive an email from ACAC asking for verification that you personally have signed the affidavit above. Please respond to this email in the affirmative to allow us to continue processing your application.

*

I understand ACAC will invoice me for accreditation-related fees.

You will receive an invoice for accreditation fees from ACAC at your primary email address.

Need Help? Call our friendly staff at (888) 808-8381 (M-Th 7 to 4; Fri 7 to Noon, MST)

Office Use Only *

This field must read "app@acac.org". Do not alter this email address.