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Page 1

HIGH FIVE® Trainer Application

Account ID

Please select the HIGH FIVE® Trainer pathway you are applying for.

This application is for Become a HIGH FIVE® Trainer. Upon successful completion of the training, new trainers will be able to facilitate Principles of Healthy Child Development training in person and in a virtual format.

Please submit your application as soon as possible.

Prerequisites*

Principles of Healthy Child Development (PHCD) & Modules

PHCD QUEST 1

PHCD QUEST 2

HIGH FIVE® Sport - Complimentary access will be provided to all trainer candidates after registration has closed.

What if I am missing a prerequisite?
For a list of upcoming QUEST 1, QUEST 2, and HIGH FIVE Sport trainings email info@highfive.org

This application is for Become a HIGH FIVE® Trainer. Upon successful completion of the training, new trainers will be able to facilitate Principles of Healthy Aging training in person and in a virtual format.

Please submit your application as soon as possible.

Prerequisites*

Principles of Healthy Aging (PHA) & Modules

PHA QUEST 1

PHA QUEST 2

What if I am missing a prerequisite?
Please email info@highfive.org

Page 2

Please complete all mandatory portions of this application.

Name
Please state your first and last name as it appears on your last HIGH FIVE® Certificate.

First Name

Last Name

Person ID
If you took any training before 2025 please login to your HIGH FIVE® Database account and under the view my profile tab. This ID is located at the top left of your screen. The ID is a number.

Email
Enter the email address associated with your HIGH FIVE® Training

Current Organization
Enter n/a if you are not currently employed with an organization.

Add us to your contacts

Add info@HIGHFIVE.org to your contact list to make sure you receive emails from us.

Training Day Expectations

This is a two day training. Day 1 is held virtually on the Zoom platform. Day 2 is held in-person.

Day 1 Virtual

Day 2 In Person

You must attend both days of training in order to complete the training requirement. Registration fees cannot be refunded or transferred to another training.

You are required to have the full downloaded Zoom app on your device and have a working microphone, web cam, and speakers to participate. HIGH FIVE® expects 100% participation in the training.

This includes keeping your camera on for the duration of all online training events and full attendance for in person training.

Do not plan other meetings, calls or events on the days of your training.

Letter of Reference

You are required to submit a letter of reference from a supervisor/manager that can attest to your leadership skill set. Check the box here to indicate that you will complete this and upload a copy. There is a spot on this form for uploads at the bottom.

Letter of Reference Expectations

Please ask the individual providing you with the letter of reference to answer these three questions:

a) In which of the following areas does the applicant have experience in: facilitation, fitness, education, recreation, sport?

b) Do you feel that the applicant has an appropriate understanding of healthy child development or healthy aging, based on the program they are applying to train for?

c) What are some personal attributes that would make this applicant an exceptional trainer?

Reference Letter Upload

Please upload your PDF Reference Letter here.

References

In addition to the letter of reference we want to take the opportunity to communicate with three other references.

Reference 1

First Name

Last Name

Phone

Relationship to you

Reference 2

First Name

Last Name

Phone

Relationship to you

Reference 3

First Name

Last Name

Phone

Relationship to you

Video Expectations

Only record yourself facilitating an activity. This can be a craft, song or game. Be creative. Your video should be no longer than two minutes. We will not distribute or copy this material. By sending this to HIGH FIVE, you are consenting to our team viewing the video and using the video for future promotions.

Submit a short video of you instructing an activity, 2 minutes in length. Please WeTransfer the file to info@HIGHFIVE.org save the file as your first and last name and date. For example JOHNSMITHSept 30

About the Applicant

Have you ever been discipline or investigated for incidents related to vulnerable persons?

YesNo

If yes please provide more information and outcome

Why do you wish to become a HIGH FIVE® Trainer?

Why do you believe you are an ideal candidate to become a HIGH FIVE® Trainer?

We require that you attach a resume highlighting your abilities, achievements, and experience in recreation and sport. Please check the box that you will complete this.

Resume Upload

Please upload your PDF Resume here.

Lunch & Snacks
Please tell us in the space below if there are any allergies pertaining to food. For your in-person training day we will supply you with lunch and snacks.

Send me a copy of my responses

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