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

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

Date

End Date

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

Advertised to:

Other

Evaluation Method

Other

Written materials?

Material Distribution Method

Other

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

Upload Faculty List

Upload a File

Continue next question if faculty list in contained in the above schedule/agenda upload.

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