CEDIA CEU Provider Application Form

CEDIA CEU Provider Application Form
Instructions

Please complete this form for each course you would like to submit. If you have more than 3 courses contact CEDIA to see options for a bulk submission form. Course submission fees can be paid online after submitting this form. Contact CEDIA if you need to be invoiced. Course Submission Fees: $150 Member, $250 Non-Member
Contact Information
Organization Name*
Organization Type*
Is your organization CEDIA Member?

YesNo
Main Contact Name*

First NameLast Name
Main Contact Email*
Phone Number

Area CodePhone Number
Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you interested in becoming a CEDIA Education Sponsor?

YesNo
Course Information
Course Name*
Course Length (in hours)*
Manufacturer Product should be a minimum 1 hour long. Non-Manufacturer should be minimum 30 minutes long.
Instructor Name(s) and Experience/Qualifications*
If the course is self-paced then you can list the course creator.
Is this Manufacturer Product Training?*

Yes, course content trains to a specific brand(s)No, course content is brand agnostic. If brands are referenced then more than one example is given.
Course Format (check all that apply)*

In-personWebinarSelf-paced (online)Hybrid
In what region(s) will this course be offered?*

AmericasEMEAAPACIndiaAll global regions
Course Description*
Provide a course description or use the button below to upload brochure/materials which include description.
Learning Objectives*
There should be at least 1 learning objective to support each hour of training.
Webpage LInk for Course Information*
CEDIA will put this link on the CEU Provider Page listing
Upload Course Informational Materials (Optional)

Browse Files

Cancelof
Example of Certificate of Completion*

Browse Files
Can be a document or email but must contain attendee name, course name and date completed. It should confirm attendance/completion of course and not just registration. CEDIA has a template certification of completion that can also be used. Cancelof
Applicable IST Certification Knowledge Domains

View the IST Blueprint for details on knowledge domains. Approved CEUs will also count for ESC-N & ESC-D certifications
Select all that apply*
Agreement
The information submitted in this application is accurate. I have read and agree to the policies mentioned in the CEU Provider Handbook.

AgreeDisagree
Please refer to the CEU Provider Handbook for the full list of expectations, process, and how to market your approved CEU course. View the IST Blueprint for details on what is included in the knowledge domains.

For questions please contact CEDIA Certification at certification@cedia.org. The US office phone number is 800-669-5329 or 317-328-4336. The UK office phone number is +44 1480 213744

Upon hitting submit below you will be redirected to the CEU Provider Course Submission payment page. You will need your cedia.net login to complete the payment online with a credit card. Contact certification@cedia.org if you would need an invoice instead.
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CEDIA CEU Provider Application Form

Instructions

Contact Information

Course Information

Applicable IST Certification Knowledge Domains

Agreement