Training Application

Training Organization Information











Enter the highest degree, certificate, or credential held by the developer relevant to the course content.
Application Type






Provide a brief summary of the changes made to the training following the review feedback summary information
Training Information











Core Competencies & Standards







Below, enter the total number of hours in each area in quarter-hour increments. The cumulative number of hours across areas must match the total clock hours
















Training Filter Information









Training Content and Learning Activities Alignment



Outline and Alignment of Training
This section is very similar to the outline of activities in the previous KDHE approval request form. 

The intent is that you are providing enough details that reviewers can identify how much time is spent in each instructional method, that the time aligns with the requested approved hours, and that learning objectives, KS Core Comps and the activities all align. This information also supports information regarding special training (health and safety, infant direct care, or director/administrator hours) 

Before diving into details, please remember that any course over 2 hours must have breaks and that any break time does not get included in the approved hours. Break time needs to be included in the outline details. 

Please review the example, then use the blank table provided in the link below to provide your information. Insert as many additional lines as needed to detail your course activities. 

Attach the completed document to your application for approval. 

The table below shows an example of a 2-hour course. 

The blank table is attached here Outline and Alignment form. for you to complete. Add additional lines as needed to ensure all activities are clearly identified with how they support the learning objective and KS Core Competency.

Provide enough details in the Outline Activities and Instructional Methods column to clearly explain the activity. If there are planned discussions, provide potential questions that will be used. Details are important here. 
KCCTO
KCCTO






Supporting Materials


Agreement

As the individual submitting this application for KDHE clock hours, I assure the following:

  • The quality of the training content, materials, and the qualifications of the person developing the training content
  • All information provided is based on credible sources and best practices for early childhood care and education 
  • Maintenance of the structure of the training, including the delivery format, clock hours, and content, exactly as it was approved.
  • Resubmission of the training if any modifications are needed, such as:
    • A significant change in the content of the training including alteration of the learning objective(s)
    • A change in the title or delivery format of the training
    • A significant change in the length of the training (30 minutes or more)
  • Certificates of completion will be issued only to participants that attend the entire training
  • Certificates of completion will include the following information:
    • "KDHE Approved Early Childhood Professional Development Training"
    • Training title as approved
    • Trainer’s name
    • Date of the training
    • Kansas Core Competencies (Domain, Skill Area, Level, and hours per domain)
    • CDA Subject Area and corresponding hours
    • Approved clock hours
    • Approval number
    • Delivery format
  • The training will not be advertised for KDHE clock hours prior to receiving formal approval.

I understand that as part of the approval process, this application will be reviewed by approved reviewers and scored using the Training Approval Scoring Rubric. Once approved, this training may be subject to periodic review by state authorities, and I will cooperate with any audits or evaluations of the training.

Your typed full name will serve as your signature.

Contact Information