CEU Approval Form

Contact Information

Name*

Email*

Phone*

Title of Program*

Sponsoring School or Department*

Program Objectives*

Brief Description*

Select which standard(s) applies to your course.*

For EACH of the standards selected, give a brief description of how this standard applies to your course.*

Estimated Attendance*

Participating Audience*

Location(s)*

Date(s)*

Total Clock Hours of Instruction*

Number of CEU Credits Recommended*

Instructor(s)*

Evaluation Procedure*

If you choose to use your own evaluation form, please upload your form in the designated box below.

Evaluation Form(s)

Drop files here or

Accepted file types: pdf, doc, docx, zip, , Max. file size: 64 MB.

Resume(s)*

Drop files here or

Accepted file types: pdf, doc, docx, zip, , Max. file size: 64 MB.

Timed Agenda(s)*

Drop files here or

Accepted file types: pdf, doc, docx, zip, , Max. file size: 64 MB.