Master Trainers Conference EvaluationAffiliation Agreement Thank you for attending the LSCI Trainer Re-Certification Conference! We loved the opportunity to Come Together again after five years and hope you will leave us feeling re-connected and re-invigorated. Please share your feedback so we can keep improving our logistics and content. Please fill this quick survey and let us know your thoughts (your answers will be anonymous).How satisfied were you with the Conference?(Required)Not veryOnly a littleTo some extentRather muchVery muchHow relevant and helpful do you think it was for your work as an LSCI Trainer?(Required)Not veryOnly a littleTo some extentRather muchVery muchWhat were your key take aways from this Conference?How satisfied were you with the logistics?(Required)1 = Very dissatisfied 5 = Very satisfied12345N/AHotel accommodationConference venueEmails about the ConferenceWelcome bag & Conference programConference MealsEvent organizationAdditional feedback on Conference logisticsWhich sessions did you find most relevant?(Required)Not relevantRelevantVery relevantDid not attendStrongly agreeOpening Keynote (Dr. Lori Desautels)General Session I (Criste & Walker)General Session II (Danielle Theis)General Session II (Cameron & Hughes)General Session III (Signe Whitson)General Session III (Abby Potter)General Session IV (Mark Freado & Kenneth Henry)Breakout SessionsInterest Groups (Wednesday afternoon)How satisfied were you with the Breakout Session selection & content?(Required)PoorFairGoodVery goodExcellentWas there a Breakout Session(s) that was particularly helpful or informative to your work?Any overall feedback for the event?Name (optional) Δ In order to maintain my status as a certified Trainer for the Life Space Crisis Intervention Institute, I accept the following professional conditions and standards:I will maintain the highest quality of LSCI training by providing only LSCI Institute authored and approved training and certification programs.(Required) Agree Disagree I will order all LSCI training materials from the Life Space Crisis Intervention Institute, via the LSCI.org website.(Required) Agree Disagree I understand that no part of any LSCI Institute Trainer’s Manual, Participant’s Manual, Video, PowerPoint presentation, Role Play, or training handout can be reproduced or shared outside of an LSCI training program without the written permission of the LSCI Institute.(Required) Agree Disagree I understand I am legally responsible for my professional behavior and the welfare of the trainees participating in my LSCI training sessions. Any subsequent lawsuits from the trainees or sponsoring organization/school are not the responsibility of the LSCI Institute.(Required) Agree Disagree I understand that all trainees who are awarded Certification in LSCI will have (1) Attended the scheduled sessions in their entirety (2) Passed the Certification Course Role-Playing practical examination(Required) Agree Disagree I will maintain proper records of each LSCI training, including: (1) Retaining copies of sign in sheets for a period of three years (2) Mailing the proper CEU documentation to all Approval Boards (e.g. Augustana University, NASP) according to their deadlines (3) Submitting accurate grades and proper fees according to the guidelines of Augustana University whenever LSCI participants apply for graduate credit.(Required) Agree Disagree I will participate in any data collection efforts to evaluate the effectiveness of LSCI training.(Required) Agree Disagree I agree to teach a minimum of two LSCI training programs each year and to apply to present about LSCI at at least one regional, state, or national conference annually.(Required) Agree Disagree I will use the LSCI Institute fee structure as follows: (1) Participants who attend LSCI trainings at a National Training Site will pay a minimum fee of $495. Trainer may use their discretion in offering scholarships to individual participants of up to $245. (2) If I offer LSCI training at an outside organization or school, I will charge a minimum Trainer fee of $750/day, plus the cost of instructional materials.(Required) Agree Disagree I agree to participate in re-certification training every three years and pay all applicable materials and professional fees to maintain my affiliation with the LSCI Institute.(Required) Agree Disagree I understand that if my affiliation with the LSCI Institute ends, I will not be permitted to train any LSCI Institute curriculum or share any training materials.(Required) Agree Disagree The LSCI Institute has the right to terminate my affiliation with them based on its professional standards and expectations.(Required) Agree Disagree The LSCI Institute has the right to terminate my affiliation with them based on its professional standards and expectations.(Required) Agree Disagree I understand this Affiliation Agreement is in effect from July 27, 2022 through July 31, 2025(Required) Agree Disagree Full Name (as you wish it to appear on your certificate)(Required)Email (your certificate will be sent here)(Required) Date Submitted(Required) MM slash DD slash YYYY Δ