Acceptance of Continuing Education
Use this form to have continuing education opportunities approved if they are not already. In order for the continuing education to be approved please provide a course outline, syllabus or learning objectives into the form AND attach supporting documentation.
Name of Continuing Education Opportunity
*
Number of hours or points being claimed
*
Please make sure to note whether you are including hours or points. For example, 6 HRS or 3 PTS.
Course outline, syllabus, or learning objectives
*
Attach course outline, syllabus and/or learning objectives.
*
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Your Name
*
First Name
Last Name
Your e-mail
*
example@example.com
Approved Status
Please Select
Approved
Denied
Comments
Recertification Liaison
First Name
Last Name
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