Program of Excellence Continuing Education Submission Form

Program of Excellence Continuing Education Submission Form

Submit your continuing education activities for the NHSSCA Program of Excellence. Please complete all required fields and provide accurate documentation.
Please review the NHSSCA Program of Excellence Continuing Education Form instructions carefully before proceeding. Click the button below to access the official document for detailed guidelines.

👉 Continuing Education Submission Instructions
SECTION 1: Applicant Information

Provide your personal and school information below.
Full Name*

First NameLast Name
Email Address*
example@example.com
Mobile Number
Please enter a valid mobile number.
School Name*
School District*
State*
App Type

First-Time Program of Excellence ApplicantProgram of Excellence Renewal Applicant
Important Notice for First-Time Applicants: If you are applying as a first-time Program of Excellence applicant, you should not complete the Continuing Education Submission Form. Please exit this form and return to the Program of Excellence Rubric Submission Form to complete your application. CLICK HERE
Renewal Applicants: You are required to complete both the Program of Excellence Rubric Submission Form and this form as part of your renewal process: CLICK HERE
SECTION 2: Continuing Education Activities

Enter each continuing education activity separately. You may add as many rows as needed. After entering all activities, manually calculate your total hours and enter it in the field below.
Hours Earned Continuing Education Activities Table
SECTION 3: Total Hours

Please manually add the Hours Earned from all activities listed above and enter the total here. Minimum required: 25 hours.
Total Continuing Education Hours Completed*
SECTION 4: Verification & Attestation
I certify that the continuing education activities listed above are accurate and were completed by me.*

I agree
Should be Empty:

Program of Excellence Continuing Education Submission Form

SECTION 1: Applicant Information

SECTION 2: Continuing Education Activities

SECTION 3: Total Hours

SECTION 4: Verification & Attestation