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SCRUM ALLIANCE® REGISTERED EDUCATION PROVIDER (REP)

Application for a New Scaling Instructor

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

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

• Applicant Email

• Associated CoursesTo ensure that the appropriate course permissions are assigned, please list of all courses(Scaling and/or Continuing Education) that should be associated with this instructor.

• Name of REP

• Applicant Name

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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)

• What Scaling Framework will this instructor teach?

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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 scaling offering identified in this application, please include documentation or

evidence that you are a current and approved scaling instructor and list the associated scaling organization/certifying body (e.g. certificate, link to your certification profile at the scaling 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 document with 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 5.

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. INSTRUCTO R INFO RM ATI O N

• Attach all instructor documents requested on page 5 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=1372590

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.