GAL Accreditation Application

Guardian Ad Litem Review Board

CPE Accreditation Application
Sponsor/Guardian ad Litem acknowledges and agrees to comply with all local rules and regulations as defined in Rule 10 of the Maine Rules for Guardians ad Litem.
Application Type

Course SponsorGuardian ad Litem
Application submitted by*

First Name/Middle NameLast NameSuffix
Organization
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Telephone Number*

Area CodePhone Number
Course Information
Title*
Begin Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Please provide a detailed description of why you believe this program meets the Rule 10 requirement and should receive credit.*
Course Location*
Registration Fee:*
Website/Program URL
*The website provided will enable the GAL Review Board to post a link to the registration page (if applicable) as well as the contents of this program on its website.
Course Delivery Method*

LiveTeleconferenceVideo ReplayWebinarWebinar
Advertised to:*

GALsAttorneysOther
Evaluation Method*

Participant ReviewNoneOther
Written materials?*

YesNo
Material Distribution Method

DigitalHard CopyOther
Credits
Total General Credits Requested
To calculate the number of credits a course is eligible for, please divide the total number of minutes attended by 60.
Total Ethics Credits Requested
To calculate the number of credits a course is eligible for, please divide the total number of minutes attended by 60.
If you are seeking credits for specific sessions rather than the entire program, please identify below which sessions and the amount and type of credit sought below.
Note: Introductory remarks, and meal and lunch breaks are not eligible for credit.
Required attachments:
Upload Brochure/Schedule/Agenda*

Upload a File

Cancelof
Upload Faculty List

Upload a File
Continue next question if faculty list in contained in the above schedule/agenda upload. Cancelof
Application Fee

Course Provider $150 - Course providers must remit an annual application fee. If due, please submit payment via the payment submission link on your confirmation email.

Individual GAL $25 - GALs seeking credit for a non-approved program must remin a $25 application fee. Please submit payment via the payment submission link on your confirmation email.
Submission Date:*

MonthDayYear
Should be Empty: