application for · web view4) once you have attained the certified da instructor (cdai)...

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Application for Certified Disciplined Agile Instructor (CDAI) Agile Training Experience and References Please return this form with the details indicated in each section. Note: Point form answers are fine NAME: Disciplined Agile User ID: (login to your profile, click on your name in the upper left corner, scroll down) CERTIFICATION AND TRAINING REQUIREMENTS CHECK your highest earned and active Disciplined Agile certification: CHECK the modules that you have completed: DA Foundations of Agile DA Foundations of Lean Foundations of Disciplined Agile Choosing Your WoW Disciplined Agile Instructor Certification TRAINING EXPERIENCE OVERVIEW Max 10 (fewer is fine) workshops that are representative of the AGILE training you have facilitated (LAST 24 MONTHS ONLY) Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or Course 1: DisciplinedAgileConsortium.org pmi.org/disciplined-agile

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Page 1: Application for · Web view4) Once you have attained the Certified DA Instructor (CDAI) designation: you are certified to teach the modules of the Disciplined Agile Lean Scrum Master

Application forCertified Disciplined Agile Instructor (CDAI)

Agile Training Experience and References

Please return this form with the details indicated in each section.

Note: Point form answers are fine

NAME:

Disciplined Agile User ID: (login to your profile, click on your name in the upper left corner, scroll down)

CERTIFICATION AND TRAINING REQUIREMENTSCHECK your highest earned and active Disciplined Agile certification:

CHECK the modules that you have completed:

DA Foundations of Agile DA Foundations of Lean Foundations of Disciplined Agile Choosing Your WoW Disciplined Agile Instructor Certification

TRAINING EXPERIENCE OVERVIEWMax 10 (fewer is fine) workshops that are representative of the AGILE training you have

facilitated(LAST 24 MONTHS ONLY)

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 1:

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually

Course 2:

DisciplinedAgileConsortium.org pmi.org/disciplined-agile

Page 2: Application for · Web view4) Once you have attained the Certified DA Instructor (CDAI) designation: you are certified to teach the modules of the Disciplined Agile Lean Scrum Master

Application forCertified Disciplined Agile Instructor (CDAI)

Agile Training Experience and References

Please return this form with the details indicated in each section.

Note: Point form answers are fine

TRAINING EXPERIENCE OVERVIEWMax 10 (fewer is fine) workshops that are representative of the AGILE training you have

facilitated(LAST 24 MONTHS ONLY)

learning objectivesCourse Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 3:

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 4:

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 5:

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 6:

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 7:

DisciplinedAgileConsortium.org pmi.org/disciplined-agile

Page 3: Application for · Web view4) Once you have attained the Certified DA Instructor (CDAI) designation: you are certified to teach the modules of the Disciplined Agile Lean Scrum Master

Application forCertified Disciplined Agile Instructor (CDAI)

Agile Training Experience and References

Please return this form with the details indicated in each section.

Note: Point form answers are fine

TRAINING EXPERIENCE OVERVIEWMax 10 (fewer is fine) workshops that are representative of the AGILE training you have

facilitated(LAST 24 MONTHS ONLY)

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 8:

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 9:

Course Delivered: Title duration in hours number of students when (date) where (organization) in-person or virtually learning objectives

Course 10:

VIRTUAL TRAINING EXPERIENCEOverview the tools you use for Virtual Training

Presentation Tool(s): Why did you choose

this tool? What features do you

especially like?

DisciplinedAgileConsortium.org pmi.org/disciplined-agile

Page 4: Application for · Web view4) Once you have attained the Certified DA Instructor (CDAI) designation: you are certified to teach the modules of the Disciplined Agile Lean Scrum Master

Application forCertified Disciplined Agile Instructor (CDAI)

Agile Training Experience and References

Please return this form with the details indicated in each section.

Note: Point form answers are fine

VIRTUAL TRAINING EXPERIENCEOverview the tools you use for Virtual Training

Collaboration Tool(s): Why did you choose

this tool?What features do you especially like?

FEEDBACKProvide copies of feedback forms from two courses you have delivered in the past two years. If the feedback is not in English, please translate it to English.* These forms may be attached separately to this application.

Course 1 Feedback: Course Details Title when (date)

Course 2 Feedback: Course Details Title when (date)

Thank you for returning your completed application to [email protected].

We will review all the information and make the decision to accept you as an Instructor or share feedback that will help you close any gaps. If you are accepted as an Instructor:

1) You will receive the Instructor Agreement via docusign. Please fill out and return this agreement.

DisciplinedAgileConsortium.org pmi.org/disciplined-agile

Page 5: Application for · Web view4) Once you have attained the Certified DA Instructor (CDAI) designation: you are certified to teach the modules of the Disciplined Agile Lean Scrum Master

Application forCertified Disciplined Agile Instructor (CDAI)

Agile Training Experience and References

Please return this form with the details indicated in each section.

Note: Point form answers are fine

2) You will receive an invoice for the Annual Instructor Fee – please pay this fee promptly. Our current fee structure is different by geographic area. Please review the Certified DA Instructor Program details (which may change from time-to-time) at https://www.disciplinedagileconsortium.org/CDAI-Program

3) Once payment has been received, we will:a) provide your certificateb) update your membership level.

4) Once you have attained the Certified DA Instructor (CDAI) designation:a) you are certified to teach the modules of the Disciplined Agile Lean Scrum

Master courseb) Other workshops require a conversation our Disciplined Agile Training Lead to

ensure you have the specific skill required. E.g. if you want to deliver the Product Owner: Enterprise Skills course, you are required to have experience being or training Product Owners.

5) Every Certified Instructor is required to work through an Authorized Training Partner (ATP) - see   Partner Program   for details. Please let us know which partner you will be training through …

a) Your own company?  If yes, we will send the PMI-Disciplined Agile Training Partner agreement via docusign for you to fill out and return

b) A different partner? Please let us know who this is and provide a contact – we will follow-up with them to update their existing agreement or forward the PMI-DA Training Partner agreement to them

We look forward to having you join us.

The Disciplined Agile Team

DisciplinedAgileConsortium.org pmi.org/disciplined-agile