The form on this page is for an online application and payment for MIA certificate and MIA website presence of Practicum Site(s) by a Host School.
If you would prefer to download a PDF version of the application to complete and save on your computer or to fill in by hand, download the file below.
A Practicum Site is defined as an operating classroom, with regularly enrolled children, which is qualified to allow an Adult Learner to perform their practicum. A Host School is the school where the Practicum Site is located.
A Practicum site is usually affiliated with a Teacher Education Program (TEP). A representative from the Teacher Education Program, or an MIA ON-Site Reviewer, evaluates and verifies that the Practicum Site meets the qualifications as defined in the MIA Certification Standards and Procedures.
Practicum Site certification is for a period of 1 year from date of certification.