Form

2025 TRAINER CERTIFICATION PROGRAM
PARTNER AGENCY APPLICATION

The Safe & Together Institute's Trainer Certification Program enables high-quality training for domestic abuse–informed practice from right within your agency. Partner Agencies experience more flexibility with lower per training costs (than S&TI faculty-led training) through our licensing fee cost structure and a higher level of personalization tailored to your unique organisational needs. Certified Trainers gain an industry-recognised credential that amplifies their voice as an expert and a systems change leader.

Who is this for?

The Trainer Certification Program (TCP) is a robust program designed for agencies that demonstrate a commitment to domestic abuse–informed practice and high-quality training and are interested in supporting the dissemination of the Safe & Together Model.

All agencies that wish to become a new Safe & Together Model Partner Agency and support a Certified Trainer are required to submit this application form for consideration. A Partner Agency fee, plus applicable taxes, is required for all applications.

$605.00 USD
$847.00 AUD
£484.00 GBP
$889.00 NZD
$799.00 CAD
$811.00 SGD

Expectations

Partner Agencies and Certified Trainers commit to:

Being a good community member
Implementing the SModel faithfully
Collaborate with the Institute
Use only approved materials
Participate in evaluation efforts
Support certification protocols including compliance with registration and attendance processes for all internal and external training

Note: Please allow up to 60 minutes to complete this application. This form doesn't auto-save. We highly recommend drafting your responses in a separate document first; such as Word, NotePad, Google Docs, etc.

Acceptance of Terms & Conditions

I have read and agree to the terms and requirements above.*

Date*

Month/Day/Year

Agency Information

Contact Regional Location*

Legal name of organisation applying to become a Partner Agency*

First name*

Last name*

Email*

Phone number

Position or Role at Partner Agency*

Street address*

Street address 2

City*

State/Region*

Postal code

Country Name*

Partner Agency Applicant Qualifications

Certified Trainer Nominees*

Please list the names of your agency staff whom you are nominating to apply for the Trainer Certification Program.

What is your company structure?*

Sole Trader

Partnership

Private Limited Company

Other

If other, please explain.

Please provide your ABN or VAT Registration Number.*

If you are a registered Charity, please provide your registration number.

Briefly describe your agency's mission.*

Briefly describe your agency's services or work related to family violence.*

Briefly describe your agency's services or work related to child protection.*

What is your agency's level of involvement with the Safe & Together Institute (or its predecessor agency David Mandel & Associates, LLC)?*

Please describe why you want to host a Safe & Together Model Certified Trainer. How is it relevant to your agency's mission? What do you hope to accomplish by hosting a Certified Trainer?*

What stage are you in for developing an Implementation Plan for wider system change? Implementation plans often consist of the following key strategic components:
a. Training plans that include who will be trained, what training to deliver, timeline for training, allocation of funds for training;
b. Key leadeship engagement to support the Safe & Together implementation plan across the agency and within the wider community;
c. Strategic communication of the plan, its progress, successes, access by the organisation and wider community;
d. Data collection of measureable progress;
e. Plan for sustainability.*

Please select the option below that best describes where your organization is in developing a plan for wider systems change.

We just started thinking about it.

We have a draft of a plan that we are working on to incorporate most or all of the strategic components.

We have a fully developed plan including all key components, but haven't started implementing it yet.

We have a fully developed plan that includes ALL key components that we are implementing.

How does the Trainer Certification Program support your plan for wider system change to become more domestic violence informed?*

Please include details of your training plan such as who you are planning to train, the training timeline, and plans for financial support of ongoing training.

If you have a draft or full implementation plan for wider system change, and wish to share, please upload your plan.

Would you like help with developing your implementation plan for wider system change?*

Yes, please contact me.

Not at this time but will reach out if we need support.

Successful Partner Agencies usually develop a plan for supporting Certified Trainers to use work time to complete assignments for the Certification Process and helping manage their workload especially when the Certified Trainer has other significant responsibilities. Please indicate the level of support you plan to provide for your Certified Trainer(s).

Please check all that apply

TECHNOLOGICAL NEEDS FOR CERTIFIED TRAINERS A Certified Trainer will need to access their training materials electronically, be able to attend the Mentor support sessions. These critical elements of the Trainer Certification Program all require access to certain technological platforms, including Google drive, Surveymonkey, Zoom or Microsoft Teams for videoconferencing. Do you see any barriers to your Certified Trainers accessing this technology?*

No. Great!

Yes (If yes, we can work with your tech support to ensure access to these platforms.)

Application Terms & Conditions

PLEASE INDICATE YOU HAVE READ AND AGREE TO THE FOLLOWING:

RIGHTS AND RESPONSIBILITIES OF CERTIFIED TRAINERS AND THEIR AGENCIES

The Safe & Together Institute expects the agencies and individuals it partners with to commit to the following:

● To actively work toward faithful implementation of the Safe & Together Model
● To actively collaborate with the Safe & Together Institute to achieve this goal
● To use only Safe & Together Model material and/or other material approved by the Safe & Together Institute in its Safe & Together Model trainings
● To sign intellectual property agreements related to the Safe & Together Model material
● To use the Safe & Together Institute online preregistration and payment system for all Safe & Together Model trainings including trainings provided internally within agencies
● To participate in all relevant Safe & Together Model training and services evaluation efforts
● To participate and support all Safe & Together Model certification and testing protocols
● To provide reports as requested on all trainings including but not limited to: 4 day CORE Practice Training, 1 day Overviews, and 1-hour briefings performed by Safe & Together Model Certified Trainers

INTELLECTUAL PROPERTY*

The Safe & Together Institute retains all intellectual property rights to Safe & Together Model material.

I have read and agree to the Rights and Responsibilities outlined above.