SNAPA Continuing Education Credit Request

SNAPA Continuing Education Credit Request
This form is used for Chapter leaders and other organizations supporting SNAPA with continuing education credits/programs that meet the USDA Professional Development guidelines.

Submit this form at least 2 weeks before the scheduled meeting.
This form will be reviewed by our Professional Development Chair and the CEU Certificate will be emailed to the contact person completing this form.
Name of Person Requesting*

First NameLast Name
Email of Person Requesting*
example@example.com
Phone Number of Person Requesting*
Please enter a valid phone number.
Sponsor of Event*
SNAPA Chapter Name and Number*
Date and Time of Meeting*

MonthDayYear
Date
Hour MinutesAM/PM Option
Type of Meeting (Chapter Meeting, Regional Workshop, Demonstration)*

Chapter MeetingRegional WorkshopDemonstrationOther
Length of Educational Part of Meeting*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Program-Title or Theme*
Location of Meeting*

Location

Street Address

CityState / Province

Postal / Zip Code
Meeting Details- Attach presentation-agenda or other details.

Cancelof
Meeting Details- Share information about the presentation-agenda or other details.
Should be Empty: