CEU Evaluation Request
If your CEU course has not been pre-approved, please fill out the below form for our committee to review.
Requester Information
CPRM
CRMC
APRM
Organizer
First Name
First Name
Last Name
Last Name
Email
Email
Phone
Phone
Number of CEUS Requested
Number of CEUS Requested
Estimate credits based on hours of education.
Event Information
Event Title
Event Title
Event Date
Event Date
Event Length
Event Length
Event Location
Event Location
Provide a brief description of the event
Provide a brief description of the event
File Uploads
Upload event agendas, schedules, or syllabi.
All fields are required
Submit