Court ADMINISTRATOR Education (CAE) Credit Request Form

ARLJ 14 Mandatory Court Administrator Education (CAE) Credit Request Form
Refer to ARLJ14 Standards for further information.
- 15.0 total credit hours are required within your 3-year reporting period, of which
  - 2.0 hours must be designated as ethics credits; and
  - 1.5 hours must be designated as diversity, equity, inclusion (DEI) credits
- Listening to or watching pre-recorded webinars is limited within your reporting period:
  - 5.0 total credits
  - 1.0 total ethics credits
  - 1.0 total diversity, equity, inclusion (DEI) credits

The minimum credit request is 30-minutes and credits are offered in 15-minute increments. Credits are exclusive of breaks.

Example of credit requests:

0.50 credits (30-minutes)	1.50 credits (90-minutes)
0.75 credits (45-minutes)	1.75 credits (105-minutes)
1.00 credits (60-minutes)	2.00 credits (120-minutes)
1.25 credits (75-minutes)	etc. etc.

Designee Information
First Name*
Last Name*
Email*
example@example.com
Credit Request for an individual training courseCredit Request for a multiple day program, conference, workshopCredit Request for Teaching/Publishing administrative writing
Attendance
Attended IN-PERSONAttended LIVE, VIRTUAL trainingAttended HYBRID (in-person and live, virtual)This was a self-paced courseThis was a pre-recorded webinar, podcastI was a presenter and am requesting teaching credits
Individual Course | Session Request
Sponsor of Course *
example: AOC, NACM, ICM, CCM
Course | Session Name*
example: AOC, NACM, ICM, CCM
Multi-Session Conference, Workshop, Program
Sponsor of Conference, Workshop, Program *
example: NACM, AOC, NCSC, etc.
Program | Conference Name*
example: NACM Mid-Year, NACM Yearly, Rise, etc.
Date of Attendance
Start Date*

MonthDayYear
End Date*

MonthDayYear
Credit Request

The number of credit hours requesting
The minimum credit request is 30-minutes and credits are offered in 15-minute increments. Credits are exclusive of breaks.
General Credits (NOT designated as Ethics or DEI)Ethics CreditsDiversity, Equity, and Inclusion (DEI) Credits
TOTAL # of GENERAL CREDITS Requesting
TOTAL # Designated as ETHICS Credits
TOTAL # Designated as DIVERSITY, EQUITY, INCLUSION (DEI) Credits
TOTAL NUMBER OF CREDITS REQUESTING
When requesting DIVERSITY, EQUITY, INCLUSION (DEI) credits, please indicate why/how this session meets the request.*
When requesting Ethics credits, please indicate why and how the session meets the request. At a minimum, provide the Code of Judicial Conduct Canon(s) and specific Rule(s) the content relates to. *
WHEN APPLICABLE:
- Attach Certificate(s) of Completion
- Attach Conference Agenda with Session Descriptions
- Attach Session/Course Description
SUPPORTING DOCUMENTATION

Cancelof
I hereby attest that I completed the above-named training.
Should be Empty:

ARLJ 14 Mandatory Court Administrator Education (CAE) Credit Request Form

Designee Information

Attendance

Individual Course | Session Request

Multi-Session Conference, Workshop, Program

Date of Attendance

Credit Request