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INIFAC Certification Application
What certification are you applying for?
*
Certified Master Facilitator®
Certified Competent Facilitator®
Certified Skilled Facilitator®
Certified Learning Facilitator®
Certified Master Learning Facilitator®
Certified Advanced Virtual Facilitator®
Certified Virtual Facilitator®
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Apply For CVF® (198.00 USD)
FEE: $198.00 USD for CVF® | If you are CMF® or CSF®/CCF® fee for CVF® is $98.00 USD. Please choose 3 dates and times 1 week from date of application submission.
Are you a CMF®, CSF®, or CCF®?
Yes
No
Apply For CMF®
FEE for CMF® $2,350.00 USD FEE for CMF® $2,150.00 USD with nomination
Apply For CCF®
FEE for CCF® $1,000.00 USD.
Apply For CSF®
FEE for CSF® $1,000.00 USD.
Apply For CAVF®
FEE for CAVF® $198 USD
Apply For CMLF®
FEE for CMLF® $2,350 USD
Apply For CLF®
FEE for CLF® $1,000 USD
Name
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First Name
Last Name
Date
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Day
Year
Date
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Organization
Address
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Street Address
City
State / Province
Postal / Zip Code
Select Your Time Zone
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Country
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Provide three date and time options within the next three months for your 30-minute online assessment.
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Month
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Day
Year
Date
Time
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Hour Minutes
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AM/PM Option
Date
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Month
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Day
Year
Date
Time
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Hour Minutes
AM
PM
AM/PM Option
Date
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Month
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Day
Year
Date
Time
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Hour Minutes
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AM/PM Option
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Website
Do you hold any INIFAC certifications?
Certified Master Facilitator®
Certified Master Learning Facilitator®
Certified Competent Facilitator®
Certified Skilled Facilitator®
Certified Learning Facilitator®
Certified Advanced Virtual Facilitator®
Certified Virtual Facilitator®
Are You a Certified Professional Facilitator?
Yes
No
Certificate Date
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Month
-
Day
Year
Date
Do you hold any other professional facilitation certifications?
Yes
No
If yes, please enter the details
Upload Photo (Upload a Head Shot you would like us to use on the website for your certification)
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Browse Files
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Upload Bio to be displayed on INIFAC website
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Demographics
We are requesting the following information in order to better serve the professional facilitation community. This sheet will be separated from your application upon receipt and cannot be linked to you by the program assessors or the INIFAC Board. The demographic information INIFAC receives will be used for statistical purposes only.
Country / State / Province of your residence
Number of years as a professional facilitator
Highest level of formal education
Formal facilitator training classes taken
Specific facilitation methods you employ
Other professional fields in which you have worked
Professional organizations of which you are a member
Gender
Male
Female
Other
Languages used in facilitating
How did you hear about INIFAC?
Products
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Certified Master Facilitator®
Assessment fee for Certified Master Facilitator® without a nomination.
$
2,350.00
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Certified Master Facilitator® with Nomination
Assessment fee for Certified Master Facilitator® with a nomination.
$
2,150.00
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2
3
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Certified Competent Facilitator®
Assessment fee for Certified Competent Facilitator®.
$
1,000.00
Quantity
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1
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Certified Skilled Facilitator®
Assessment fee for Certified Skilled Facilitator®.
$
1,000.00
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CCF®/CSF® to Certified Master Facilitator®
Assessment fee for current CCF®/CSF® who are applying for Certified Master Facilitator®.
$
1,350.00
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1
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Certified Master Learning Facilitator®
Assessment fee for Certified Master Learning Facilitator®.
$
2,350.00
Quantity
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1
2
3
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5
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Certified Master Learning Facilitator® with Nomination
Assessment fee for Certified Master Learning Facilitator® with nomination.
$
2,150.00
Quantity
0
1
2
3
4
5
6
7
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9
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Certified Learning Facilitator®
Assessment fee for Certified Learning Facilitator®.
$
1,000.00
Certified Advanced Virtual Facilitator®
Assessment fee for Certified Advanced Virtual Facilitator®.
$
1,000.00
Quantity
0
1
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Certified Virtual Facilitator ®
Assessment fee for Certified Virtual Facilitator®.
$
198.00
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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