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Sleep Training Application
1. Type in your answers in black.
2. Attach a copy of your resume (including all jobs worked, dates and short job description).
3. Fill out all required fields in this form.
4. Verify that all information is correct before submitting the form
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Date
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Name *
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Address
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Email *
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Phone Number *
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Alternate Number
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Are you a certified NCS through the NCSA? *
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Yes
No
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My certification is: *
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Basic
Advanced
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Date of Certification *
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What information would you like on the NCSA website?
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I am applying for: *
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Basic Infant Sleep Consultant ($50 for 2 years)
Advanced Infant Sleep Training ($75 for 2 years)
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BASIC: Infant Sleep Consultant CISC
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Number of hours of sleep training on newborns to six months *
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List two methods of sleep training I have used successfully other than CIO: *
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List at least 3 sleep training books you have read or course you have taken *
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List 5 client's names, phone numbers and/or email addresses where you successfully sleep-trained a baby by phone, Skype, or email, without
actually going to the client's home:
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Provide at least 10 Testimonials/References from families that the candidate provided the services for:
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ADVANCED: Infant Sleep Consultant (CAISC)
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Number of hours of sleep training on newborns to six months *
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List two methods of sleep training I have used successfully other than CIO: *
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List at least 5 sleep training books you have read *
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List one online or in-person training (if any)
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List 10 client consultations successfully completed without actually going in to train the baby to sleep. Can be over the phone, email, or
Skype type consultations (Include phone numbers and/or email addresses) *
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Provide at least 15 Testimonials/References from families that the candidate has provided services for (they could include the first 10 they
used previously for the basic certificate and add 5 more). Can also use 10 from above. Include phone numbers/email *
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Verification
I verify that all the above provided information is true to the best of my knowledge
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Name *
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Date *
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Upload your resume
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