ARLJ 14 MANDATORY ADMINISTRATOR EDUCATION (CAE) OFFICIAL INDIVIDUAL REQUEST FORM

ARLJ 14 MANDATORY ADMINISTRATOR EDUCATION (CAE) OFFICIAL INDIVIDUAL REQUEST FORM
TO BE COMPLETED BY THE ARLJ 14 DESIGNEE:
Name

Last NameFirst Name
Email
example@example.com
Name of progam*
Sponsor of program*
Date(s) of attendance*
*Please upload (below) a program agenda for all CAE requests except publishing administrative writing. For publishing, attach a table of content.
File Upload

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Select all that apply:

Election A: Attendance at continuing professional administrative education (if selected check option below).Election B: *Self-Study continuing professional administrative education.Election C: **Teaching/publishing administrative writing (if selected check option below).
* Listening to or watching recorded accredited CAE webinar (limited to 5 hours, of which up to 1 hour are in the area of ethics, and up to 1 hour in the area of DEI, within an administrator’s three-year recording period)

** Limited to 5 hours, of which up to 1 hour in the area of ethics, and up to 1 hour in the area of DEI by teaching or publishing administrative writings within an administrator’s three-year recording period)
Election A options:

Present in the audienceLive WebinarRecorded Webinar with faculty present
Election C options:

TeachingPublishing Administrative Writing

CAE Credit Hours Requesting (*if requesting Ethics or DEI credit please upload session description and presenter information above)

	Credit Hours
Total Hours
*Ethics
*Diversity, Equity & Inclusion (DEI)

By signing below I certify that have I attended and participated in the activities noted above for the hours stated.
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Date*

MonthDayYear
Date
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