Special TW Advocate Program Application

Reserved for the 2026 Q1 cohort

TraumaWise Advocate Application - Oct 2025 (#65)

Contact Information
Training and Education History
Your Context and Self-Assessment
How You Learn
Why You Should Be a TW Advocate
References and Confirmation

TraumaWise Advocate Certification Program Application

Thank you for your interest in the TraumaWise Advocate Certification Program. Please complete the following information below and we will connect with you once we have reviewed your application.

Please note: you don't have to have a degree or a lot of advocacy experience to qualify for this program. Don't let the questions make you feel like this isn't for you. The best advocates are those who know themselves, so please share with us without fear.

First Name

Last Name

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please upload your Resume/CV (optional)

Choose File

Title/Community Role

Organization/Affiliation

Website url (if applicable)

How did you hear about the TraumaWise Advocate Certification Program?

Trauma-Informed and/or TBRI Trainings and Education History

Which of these training have you completed - Please check all that apply

Trauma-Informed Environments (2-hour)

Trauma-Informed Environments (4-hour)

Understanding ACEs

Youth Mental Health First Aid

Adult Mental Health First Aid

Trauma-Informed Care

Trauma-Informed Parenting

Trauma-Informed Classrooms

Other (Please describe)

Please note curriculum, date, and instructor for each experience

Previous TBRI Education Experience - Please check all that apply

Introduction (1-2 hours)

Caregiving Training - Introduction & Overview

Caregiving Training - Connecting Principles

Caregiving Training - Empowering Principles

Caregiving Training - Correcting Principles

TBRI Bootcamp - all 4 modules

TBRI Skills Lab

TBRI and Trauma-Informed Classrooms

TBRI 2-day Training

TBRI Practitioner Training

Other (Please describe)

Please note date (approximate) and instructor for each experience

Principles Application History

Please describe how Trauma-Informed and/or TBRI-based principles have impacted you in these areas

Professional Impact

Personal Impact

Your Context

TraumaWise Advocates help caregivers to implement Trauma-Informed and/or TBRI-based principles and strategies in the caregiver's context. Context could be a full-time caregiving relationship such as foster or adoptive parenting, a part-time caregiving role such as childcare, respite provider, camp counselor, scout leader, sports coach, church or activity volunteer, etc., or even a personal/family relationship or event participant.

Briefly describe how you have implemented Trauma-Informed and/or TBRI-based Principles in your own context

In which current context are you working/serving that you will also serve as an Advocate?

Your Application Self-Assessment

Please mark the statement that best describes your comfort/understanding/skill/experience level in implementing each of these principles and strategies

Empowering Principles

I am very experienced in and/or frequently implement these strategies

I am experienced in and/or routinely implement these strategies

I am somewhat experienced in and/or occasionally implement these strategies

I am not at all experienced or skilled in implementing these strategies, but eager to gain experience and confidence that I could

I am not at all experienced or skilled in implementing these strategies, and am not confident in or comfortable implementing them at this time

Connecting Principles

I am very experienced in and/or frequently implement these strategies

I am experienced in and/or routinely implement these strategies

I am somewhat experienced in and/or occasionally implement these strategies

I am not at all experienced or skilled in implementing these strategies, but eager to gain experience and confidence that I could

I am not at all experienced or skilled in implementing these strategies, and am not confident in or comfortable implementing them at this time

Correcting Principles

I am very experienced in and/or frequently implement these strategies

I am experienced in and/or routinely implement these strategies

I am somewhat experienced in and/or occasionally implement these strategies

I am not at all experienced or skilled in implementing these strategies, but eager to gain experience and confidence that I could

I am not at all experienced or skilled in implementing these strategies, and am not confident in or comfortable implementing them at this time

Below, please reflect on your application of strategies by sharing the following:

What concern or issue was the child and/or caregiver facing?
How was that strategy applied?
What was the outcome or result after the strategy was applied?

One example for each strategy is required, but you can add additional if you would like.

Empowering Strategies

Concern or Issue	How Empowering Strategy was Applied	Outcome After Strategy was Applied

Connecting Strategies

Concern or Issue	How Connecting Strategy was Applied	Outcome After Strategy was Applied

Correcting Strategies

Concern or Issue	How Correcting Strategy was Applied	Outcome After Strategy was Applied

How You Learn

How would you describe your learning style?

What is your biggest growth area?

What are you currently doing to pursue growth?

What is something you recently learned that you are excited to share with others?

How would you rate your expertise level in trauma-informed practices?

What topic do you want to learn more about so you can share with others?

Why did you give yourself this score?

Please describe your understanding of trauma in 6 sentences or less

Why You Should Become a TraumaWise Advocate

Why do you want to become a TraumaWise Advocate?

What is your current intersection with supporting your local context?

How would becoming a TraumaWise Advocate benefit the community in your local context?

Why should you become a TraumaWise Advocate?

Mentorship

All Advocates must be in a mentorship relationship with an active TraumaWise Trainer, TraumaWise Activator, or TBRI Practitioner.

Have you already identified a mentor?

Yes

Maybe

Mentor First Name

Mentor Last Name

Mentor Phone/Mobile

Mentor Email

Are there any identified barriers to your participation?

Yes

What barriers might impact your participation?

What other information should we know in consideration of your application?

References and Confirmation

Please list a referee that can speak to your participation in the community.

Reference First Name

Reference Last Name

Reference 1 Email

What is your connection to the referee?

Reference 1 Phone/Mobile

I consent to share my submitted information with TraumaWise and Renae M. Dupuis, LLC so they can respond to my application

I affirm that the information shared in this application is true to best of my ability to recall and communicate

I understand that my application will be considered in a timely manner and that if I am selected to participate in the program, I am required to submit my deposit amount within 7 calendar days of the decision, unless I have made separate arrangements with TraumaWise/Renae M. Dupuis, LLC.