Participants for the KIPBS training are selected based on several criteria.

• Access to computer technology
  • The minimum computer requirements for navigating the modules are:
    • Pentium I Processor
    • 16 MB Ram
    • Internet connection (browsers Internet Explorer 6 or Netscape 6 or higher)
• Access to the following software required for the training:
  • A presentation program (e.g., PowerPoint)
  • Microsoft Excel for graphing
  • QuickTime to run the supplemental CD or view the video clips online
  • A word-processing program (e.g., Word)
    
• Access to a video camera with audio capability
• Contact with KIPBS staff for professionals working outside of a CDDO;
  
• You will be applying what you learn while working with an individual throughout the training. It will be difficult for you to complete the assignments if you change employment;
  
• Minimum of a bachelor's degree
  
• Completion of the application package.

To apply for KIPBS training, click on the application form (PDF | DOC). Print out a copy of the form for submission to the review committee.

• A. A copy of your resume or vita (please indicate what degree you have)
• B. Two signed letters of reference (PDF | DOC). One must be from a supervisor and one from a co-worker
• C. Two consumer satisfaction documents (PDF | DOC) from previous consumers of your professional work
• D. A statement of your educational or professional philosophy (PDF | DOC)
• E. Individual support plan, PBS plan, person-centered plan, or other individualized planning  documents (PDF | DOC) that demonstrates your work with an individual with DD. If you worked as part of a team in completing any of these documents, please describe your role
• F. Certification of MANDT training (PDF | DOC) (copy of certification attached)
• G. Statement of availability of necessary technology resources (PDF | DOC)
• H. Candidate Support Document - PDF (PDF | DOC)

Click here to view a Candidate Selection Summary form (PDF | DOC) the Prior Authorization Committee uses when reviewing applications.

Molly Portfolio Example:
This case study report illustrates a 4 report format (i.e., Parts 1, 2, 3, and 4). Click below to see each example.

• Molly Example Case Study: Assessment Report (Part 1)

• Molly Example Case Study: Interventions and Supports Report (Part 2)

• Molly Example Case Study: Follow-up Report (Part 3)

• Molly Example Case Study: Attachments (Part 4)

If you are accepted into the KIPBS Training Program, you and your agency will be required to complete the following consent forms.

Professional Consent Form (PDF) (to be filled out by student)

Professional Consent Form for Auditors (PDF) (to be filled out by student)

Agency Consent Form (PDF) (to be filled out by the student's supervisor)