ePRO CI Application

ePRO Training provides the right strategies, solutions, services and products to insure your success in the Internet Industry.

Become a ePRO Authorized Training Provider (ATP)

ePRO ATP Application Form

Become a ePRO Certified Instructor (CI)

ePRO CI Application Form

ePRO Certified Instructor ( CI) Program Application

Please complete all the questions on this application. This information will be sent to the e PRO Certified Instructor ( CI) Program Department when you press "Submit".

• required field

Applicant Information:
First Name: •
Middle Name:
Last Name: •
Mailing Address 1: •
Address 2:
City: •
State/Province:
Postal Code:
Country: •
Phone Number: •
Fax Number:
E-mail Address: •

Employer Information:
ATP ID Number: (optional)
Company Name: •
Company Address 1:
Address 2:
City:
State/Province:
Postal Code:
Country:
Phone Number:
Fax Number:
Current employment status: (select one of the following options) •
I am employed by a Authorized Training Provider ( ATP)
I am employed by a company offering courses (currently not a ATP)
I am a Contract Instructor
Other
I would like to be added to a contract Instructor list that will be made available to current ATPs and Independent clients

Applicant Class Attendance Status:
Have you completed the Foundations Form? •	Yes No
Please fax your class Associate Certificate to 678-482-0254. This is required of all applicants unless you are a certified technical instructor (for instance an MCT, CTT or CNI) or a Professional. See the CI Program Guide for more details.

Applicant Certification Agreement Status:
Have you completed the Certification Agreement? •	Yes No
If not, you will need to do so after completing this application.

Applicant Presentational Skills Status:
Do you have more than 1 year of experience as a Technical Instructor? •	Yes No
Have you attended a Train-the-Trainer? •	Yes No
Do you currently hold an Instructor Certification through another program (e.g. MCT, CTT, CNI)? •	Yes No
If yes, please specify:
Submit proof of presentational skills to eCommerce-Developers via FAX at 678-482-0254. This can include a technical instructor certificate or transcript, a Train-the-Trainer Certificate, an accredited teaching certificate, or a combination of a resume, 2 letters of recommendation and 10 student evaluations.

I would like to receive regular email program updates.
I verify the content of this form to be accurate and complete to the best of my knowledge.