Powerful Tools for Caregivers Class Leader April Workshop (Virtual)

Class Leader Workshop Virtual, April 27-May 1, 2026 9am – 12pm

Please enter today's date below: *

Your Name *

First

Last

Pronouns *

Email *

What is your phone number? (in case of last-minute emergencies).​ *

Numbers only, no spaces, hyphens or parentheses.

About your interest in becoming a Powerful Tools for Caregiver Class Leader: What are three reasons why you are interested in becoming a Class Leader for the Powerful Tools for Caregivers Program? *

Years of group facilitation experience (check one): *

• 1 year or less
• 2 - 5 years
• 5 - 10 years
• 10 + years

What other evidence-based programs, if any, have you led? *

for will experience

Please describe any professional experience working with family caregivers (if applicable): *

Please describe any personal caregiving experience (if applicable): *

Please describe any experience facilitating a group of adults including group size, type of participants and any outreach to targeted communities: *

I understand I am required to co-facilitate two (2) PTC 6-week caregiver class series within one year of completing the PTC Class Leader Training (Initial here): *

(Please answer for in-person training only) Please share any food allergies or training accommodation needs:

(Please answer for virtual training only) Are you familiar with and do you have access to Microsoft Word & PowerPoint:

I plan to teach PTC caregiver classes with: (check one): *

• Someone attending the class leader training with me
• Someone already certified as PTC leader in my local community
• I don’t know, help me find someone to co-teach with

Are you a member of an organization interested in sponsoring PTC Caregiver classes by providing physical workshop space, staff time, event promotion, and/or payment for training fees? *

• Yes
• No

Sponsoring Organization Name: *

Please note: The following questions and remainder of this form is to be completed by the person responsible and empowered to act on behalf of the sponsoring organization.

Name of person acting on behalf of sponsoring organization: *

Phone Number: *

Email: *

Our organization plans to support this Class Leader applicant and the PTC program in the following ways: (check all that apply): *

• Sponsor individual’s time to participate in the Class Leader Training.
• Sponsor the individual by paying their class leader training fee.
• Print PTC Class Leader Scripts and Class Leader Tips Manuals once the individual becomes certified.
• Provide space for the six-week class to meet in-person or provide virtual meeting access.
• Publicize PTC caregiver classes online and with flyers.
• Provide staff time to register PTC caregiver class participants.
• Provide staff time to caregiver class preparation and teaching the class.
• Support outreach, coordination, and community collaboration efforts.
• Sponsor a caregiver class series by purchasing copies of The Caregiver Helpbook (provided to each caregiver participant).
• Other (Please describe below)

If you chose other, please describe how your organization intends to support this applicant: *

We do have a limited number of scholarships available to cover the $270 registrations fee. Are you interested in applying for a scholarship? *

• Yes
• No

If you answered yes, please describe in a few short sentences how havign a scholarship will support you in bringing Powerful Tools for Caregivers to your community: *

If you answered no, please put N/A.

Submit

Powerful Tools for Caregivers (PTC) is a free six-week class series, offered in-person or virtually, for friends and family members who provide care to a spouse, partner, parent, child with complex needs, friend, or neighbor – whether nearby or from far away. This interactive program equips caregivers with practical skills, confidence, and support to better care for themselves while caring for others.

The Class Leader Training extends the impact of Powerful Tools for Caregivers by preparing people to facilitate and guide PTC caregiver classes. Leaders gain the skills, confidence, and knowledge of resources to create safe, supportive spaces where caregivers share experiences and thrive. By training Class Leaders, we expand caregiving support into more communities, ensuring caregivers have the balance, connection, and hope they need.