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NEW SCRUM ALLIANCE® REGISTERED EDUCATION PROVIDER (REP)

Application for Scaling Offerings

Thank you for your interest in becoming a REP partner. The Scrum Alliance® Registered Education

Provider (REP) program is designed to authorize well-qualified businesses and instructors to offer

and instruct Scrum Alliance Continuing Education and Certified Scrum Developer (CSD®) offerings.

Applicants will be authorized as REPs upon: (1) successful completion of this application; (2)

successful approval of business and course reviews; (3) signing and submitting the current

corresponding Scrum Alliance REP Agreement; and (4) submitting the annual REP fee (as

applicable).

The requirements and instructions outlined in this document guide you through the process of

submitting proper documentation to be considered a Registered Education Provider. The completed

application and all corresponding documentation will be treated as confidential, and will be distributed

to Scrum Alliance-authorized reviewers only.

Please download this form to your computer, complete, save, and return to Scrum Alliance with all

required supporting documentation as follows:

• Business Information (beginning on page 2)

• Scaling Offering Information (beginning on page 5)

• Instructor Information (beginning on page 9)

NOTE: The application fee for becoming a new Scrum Alliance REP® covers one course

and one instructor. Any additional course or instructor approvals require separate

applications and fees. If you would like to approve more courses/instructors at this time,

you can find additional applications here.

Questions concerning the Scrum Alliance REP program, requests for its associated policies, or

questions about this application should be directed to REPsupport@scrumalliance.org.

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BUSINESS CONTACT INFORMATION

• Applicant Contact Full Name

• Business Name

• Business Mailing Address

• Company Email Address (must be a unique email that is different than the email used for your Scrum

Alliance account).

• Phone Number

• Business Website URL

• Business Social Media Links (Facebook, Twitter, LinkedIn, Yelp, etc.)

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ABOUT YOUR BUSINESS

For the purposes of understanding how your REP organization would be created Scrum Alliance

directory, should your application be approved, please provide the following information:

• Business Owner/Manager OR Designated REP Profile Owner Name and Email

• Account Administrator(s) Name and Email Address (if applicable and/or different from above)

• Company Bio

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SCRUM ALLIANCE AND APPLICANT AGREEMENT

You agree to provide truthful and accurate information to Scrum Alliance with regard to your

application, related documentation, course materials, and any communication provided by you to

Scrum Alliance. You understand that any failure to provide true, timely, and complete responses to

questions in your application or related documentation may lead to rejection or delay of your

application.

You have read and agree to follow the Scrum Alliance Code of Ethics and Business Practices

Guidelines (found here). You understand in reviewing your application, our review committee will

reference the Code of Ethics and Business Practices Guidelines documents when making the

decision to accept or reject your application.

Should your application be rejected, you will be subject to a six-month waiting period before being

eligible to reapply.

If approved as a REP, you agree to abide by the Scrum Alliance Code of Ethics, which may be

updated by Scrum Alliance at any time. The Code of Ethics is posted on the Scrum Alliance website

and incorporated herein by reference. Please also reference the REP Agreement.

Applicant/Owner Printed Name:

Applicant/Owner Signature:

I, the Applicant/Owner, affirm that I understand the application agreement as stated above.

Please type your First and Last Name

Date:

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SCALING OFFERING INFORMATION

To make sure the review of your Continuing Education course request moves as quickly as possible,

please submit the following information for each course you want approved. If one or more of

the following items are missing, it may delay the time it takes to complete the approval process for

your course.

Offering Title

Offering Overview

• What Scaling Framework does this course relate to?

• Statement of purpose of offering

• Timeframe (number of total days/8 hours per day)

• Intended audience (Beginning, Intermediate, Advanced)

• Student prerequisites (if any)

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Learning Objectives for Course Content

In the table below, list all learning objectives associated with this offering. (View an example of LOs

here.)

• A learning objective should be clear, brief, and measurable.

• Clear: Any learner of this course can read this statement and immediately know what knowledge or

skill(s) they will gain by successful completion of the offering.

• Brief: The statement is short and gets straight to the point.

• Measurable: The learning objective can be measured or assessed to determine whether the learner

gained the key knowledge or skill(s) mentioned in the statement.

• For each learning objective, state HOW it will be measured.

• I.E., formal/informal course test/exam/quiz, creation of a product (reviewed by instructor),

completion of a project (reviewed by instructor), observation of work, written assignment, paired

or group discussion, etc.

NOTE: effective learning objectives contain a measurable action word. Ineffective learning objectives

use the words know, learn, and understand. Avoid using these words.

Upon successful completion of this course, the learner will be able to …

LEARNING OBJECTIVE HOW IS THISMEASURED?

LOCATION: SLIDEDECK OR COURSEMATERIAL PAGE #

EXAMPLE: Explain, using examples, at least three unit testing principles and practices.

Participants will create an advertisement/flyer for each unit testing principle/practice

PAGE 34

If more space is needed for Learning Objectives, use the table on the following page.

Need help writing learning objectives? Click here

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Upon successful completion of this course, the learner will be able to …

LEARNING OBJECTIVE HOW IS THISMEASURED?

LOCATION: SLIDEDECK OR COURSEMATERIAL PAGE #

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Associated Course Content and Documents

The following must be submitted with this file and include all other documentation needed for your

application. Review the instructions on the last page for how to submit your materials.

Course Content• Submit supporting information and materials for what will be taught in your offering.• Examples of course content include:

• Activity outlines, explanation of proposed delivery method(s), curriculum,handouts, workbook, syllabus, videos, slide deck, web links, supportingtext(s), etc.

• The more supporting course materials you submit, the less likely it will be for yourreview to encounter a time delay caused by requests for additional documentation.

Lesson Plan or Course Agenda• Submit documentation that gives an overview detailing how learning activities and

learning objectives flow throughout each day of your offering.• Time estimations (in parts of an hour) should be estimated for each section/activity/

learning objective.

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INSTRUCTOR INFORMATION In order to make sure your request to have a Scaling course instructor is approved as quickly as possible,

please submit the following information for each instructor you want approved. If one or more of

the following items are missing, it may delay the time it takes to complete the approval process for your

instructor(s).

Name

Scrum Alliance Certifications

Check the box for each currently held Scrum Alliance certification. All instructors must hold at least one

certification from Scrum Alliance.

If you are the holder of an elevated credential (CST®, CEC, or CTC) from Scrum Alliance, you do not

need to complete the Continuing Education Instructor Information section of this application.

Certified ScrumMaster® (CSM®)

Certified Scrum Product Owner® (CSPO®)

Certified Scrum Developer (CSD®)

Advanced Certified ScrumMaster (A-CSMSM)

Advanced Certified Scrum Product Owner (A-CSPOSM)

Certified Scrum Professional® ScrumMaster (CSP®-SM)

Certified Scrum Professional Product Owner (CSP®-PO)

Certified Scrum Professional (CSP®)

Certified Scrum Trainer® (CST)

Certified Enterprise Coach (CEC)

Certified Team Coach (CTC)

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Instructional Experience

PLEASE NOTE: Applicants must provide information demonstrating successful instruction of at least 10

multiday courses with a minimum of 100 students in total.

For university-based instruction, a semester- or quarter-based course supersedes the multiday course

requirement.

Scrum/Agile-Related Courses (including co-taught)

CO URSE

DATE(S)

TO TAL

DAYS /HO URS

STUDENT

CO UNT CO URSE T I TLE CO URSE DESCRI PTIO N

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Other Course Offerings

CO URSE

DATE(S)

TO TAL

DAYS /HO URS STUDENT

CO UNT CO URSE T I TLE CO URSE DESCRI PTIO N

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Collect the Following Instructor Documents

These documents must be submitted with this file and include all other documentation needed for

your application. Review the instructions on the last page for how to submit your materials.

Evidence of approval to offer scaling courses• For the offering in this application, please include documentation or evidence that you

are a current and approved scaling instructor and list the associated scalingorganization/certifying body (e.g. certificate, link to your certification profile at thescaling site, etc.).

Student feedback for a maximum of four courses• May be scanned hard copies or online survey data.• Translations into English must be provided (if applicable).• If these forms are from co-training, be sure they are specific to you and not your co-

trainer.

OPTIONAL – Letters of recommendation• These letters should come from recommenders who can speak specifically about your

training abilities, instructional skills, and experience with this scaling framework.• Be sure each letter is signed and contact information for the author is included.

OPTIONAL – Videos of live instruction• If you have video recordings of live teaching (not required), please provide an

invitation to Dropbox (or comparable) folder containing the video files or a documentwith video link(s)(YouTube or comparable site).

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NEXT STEPS

Save this document and include it with the documentation mentioned in the pages above. Be sure

you double check that you have all the documents listed on page 8 and 12.

Submitting Application Documents

Documentation must be compressed in a file identified with your business name. Please also create

the associated subfolders to organize your materials:

1. BUSI NESS INFO RM ATIO N

• Attach this application

• Attach articles of incorporation or other evidence of corporate entity for your business

• Business logo (in JPEG or PNG format)

2. SCALI NG CO URSE INFO RM ATIO N

• Attach all course content and documents requested on page 8 in this

folder

3. INSTRUCTO R INFO RM ATI O N

• Attach all instructor documents requested on page 12 in this folder Please upload all materials to https://www.hightail.com/dropbox?dropbox=ScrumAlliance.

Submitting the Application Fee

Please submit the nonrefundable review fee for this application using the following link:

https://www.regonline.com/Register/Checkin.aspx?EventID=1040183

Our REP review team will review all information provided to ensure that all course offerings and

instructors will provide the best-quality learning for those in the Scrum Alliance community.