---
title: Assistive Technology Professional Certification Course Request Form Template | Paperform
description: Streamline RESNA certification and assistive technology training enrollments with this professional course request form. Includes device selection, accessibility assessment protocols, and prerequisite verification.
url: "https://paperform.co/templates/assistive-technology-professional-certification-course-request-form"
type: static
generatedAt: "2026-03-28T00:43:05.063Z"
---

[← Back to free form templates](/templates/)    ![Assistive Technology Professional Certification Course Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assistive-technology-professional-certification-course-request-form.png)
    [Preview](https://_preview.paperform.co/ai-template/assistive-technology-professional-certification-course-request-form) [Use this template for free](/create?ai-template=assistive-technology-professional-certification-course-request-form)    [Training & Certification](/templates/category/training-certification/) [Healthcare](/templates/industry/healthcare/)[Education](/templates/industry/education/)[Business](/templates/industry/business/) [HR Manager](/templates/role/hr-manager/)[Therapist](/templates/role/therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Teacher](/templates/role/teacher/)[Training Manager](/templates/role/training-manager/)     About this free form template
### Advance Your Career in Assistive Technology

Whether you're an occupational therapist, rehabilitation specialist, educator, or healthcare professional, achieving certification in assistive technology can transform your practice and expand your impact on clients with disabilities. This **Assistive Technology Professional Certification Course Request Form** streamlines the enrollment process for RESNA-aligned training programs, helping organizations manage course requests while ensuring participants meet prerequisite requirements.

#### Why This Form Works for AT Professionals

Assistive technology certification requires careful planning—from verifying clinical experience to selecting the right specialization tracks. This template helps training coordinators, HR departments, and professional development teams efficiently process requests for ATP (Assistive Technology Professional) and RESNA certification preparation courses. The form captures essential information about the applicant's background, desired certification pathway, and specific areas of focus such as device selection, accessibility assessments, seating and mobility, or augmentative communication.

Built with conditional logic, the form adapts based on the certification level requested, current credentials, and specialization interests. This ensures training coordinators receive all necessary information upfront, reducing back-and-forth emails and accelerating approval workflows.

#### Streamline Enrollment with Paperform + Stepper

Using Paperform's native integrations, approved requests can automatically flow into your learning management system, trigger calendar invitations for upcoming cohorts, or update employee training records in your HRIS. For organizations managing complex approval hierarchies, [Stepper](https://stepper.io) can route requests to appropriate department heads, notify finance teams for budget approval, and send automated follow-ups to applicants—all triggered from a single submission.

This form template is ideal for hospitals, rehabilitation centers, school districts, assistive technology vendors, and professional associations offering continuing education in AT services. With Paperform's SOC 2 compliance and secure data handling, you can confidently manage sensitive professional development information while delivering a smooth, branded experience for your staff.
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