CE Approval Request

Progam Overview

Delivery Method

You may choose multiple methods. At least one selection is required.


Please list each speaker, topic, objective and length of time. Clear objectives and time allocation for each topic must be submitted. A minimum of one speaker, topic, objective and time must be listed.

Speaker 1

Contact Info

Supporting Documents

Submission Requirements

  1. Lectures and Conferences: Include a sample brochure and/or handout, that clearly outlines the program title(s), objectives and number of contact hours planned for each topic
  2. Print and Online Publications: Include a copy of the article or module and the post--test, if applicable
  3. Presentation and In-Services: Include a copy of the handout, outline or PowerPoint presentation (in PDF format) that will be used and the post--test, if applicable.

We highly recommend that your files be either in PDF (.pdf) or Microsoft Word format (.doc, .docx) and not exceed 5 MB total.