Application for CEU credit from American Institute of Professional Geologists
Please complete 1-11 and submit form. Pay online (http://aipg.org/store) the $100 to cover administrative costs of the review (reduced pricing for AIPG Members and Sections - $75). The fee is non-refundable and does not guarantee approval. There is an additional cost for printed CEU certificates of $10 per participant). Go to the AIPG CEU Program web page for more information including frequently asked questions - http://aipg.org/ceu
Title of Activity
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Location of Activity
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Dates
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Sponsoring Organization
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Brief Description of activity. Include a link to an outline, schedule or summary or email to aipg@aipg.org
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Approximate number of participants
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Hours of learning activity (exclude registration, breaks, etc.)
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Has this activity been reviewed and approved for CEUs by AIPG in the past? If so, please provide details and any changes in the current program.
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Name(s) of Instructors
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Instructor bios
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Proposed evaluation form about their satisfaction for participants to fill out upon completion or email to aipg@aipg.org
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Name for main contact
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Email for main contact
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Phone number for main contact
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Address for main contact
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