All fields marked with * are required to submit the form.  

When attesting to the training requirements. please keep the following in mind (Training may relate to any topic area listed on the NCBAC Educator Content Guideline):

►On-line training

The training site/provider must issue you a certificate. Please note that multiple courses from one website provider must be listed separately. 

►Participation in employer sponsored training or community based program

You may include any formal training (1) offered by an employer or (2) completed/attended in your community.

►Conferences

You may include any conferences related to aging or eldercare that you have attended.  Please list your hours as follows:  3 hours per ½ day or 6 hours per full day

►Develop and teach a course or presentation

You may use a course or presentation you have developed and taught/presented. Credit for each class may be used only once to meet recertification requirements. Credit hours should reflect the number of hours used to teach the class or present your materials.  A maximum of 6 hours total for all classes listed can be used to meet our training requirements. 

►Publication of article

Articles must be a minimum of 750 words. You will receive 1 credit hour for each article published.  You may submit up to 3 articles. 

Supporting Documentation for Your Submissions

You do not have to include any supporting documentation with your form.  However, you may be asked in future random audits to provide the following:

• Online Courses: Copy of Certificate

• Conferences: Proof of Registration

• Courses Taught: Outline of Course and Materials Used

• Publications: Copy of Article