Cert - CEU Approval Request Form

CEU Approval Request Form
This form is intended for use by organizations or local education agencies interested in seeking pre-approval by CASBO for Continuing Education Units (CEUs). If a program is approved, CEUs will satisfy renewal requirements for one or more CASBO certification(s).

All courses or programs must be approved prior to the course or program start date. Please allow up to six weeks for pre-approval and complete one form for each new course or program. Approved applicants are responsible for maintaining all attendance records.
The Basics

Tell us who you are and how we can contact you.
Full Name *

First Name Last Name
Company or LEA *
Company/LEA Website *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Preferred Phone Number *

Area Code Phone Number
E-mail *
Program Details

Please include as much course or program information as possible.
Course or Program Title *
Course or Program Date *

Month Day Year
Is registration for this course or program open to the public? *

Yes No
What is the cost of this training per attendee? *

$0.00
Length of Course or Program (hours) *
Format of Delivery *
Course or Program Description (500 words maximum) *

0/500
Learning Objectives (250 words maximum) *

0/250
Instructor/Trainer Name *

First Name Last Name
Instructor/Trainer Bio (250 words maximum)
Instructor/Trainer Name

First Name Last Name
Instructor/Trainer Bio (250 words maximum)
Instructor/Trainer Name

First Name Last Name
Instructor/Trainer Bio (250 words maximum)
Targeted Audience *
Please upload a copy of the course or program agenda or outline. *
Should be Empty:

CEU Approval Request Form

The Basics

Program Details