Sponsor Form (Continuing Education Plan)
This activity must be submitted ONLINE at www.rid.org at least 30 days prior to the start of the activity.
RID Sponsor Name
ICRID - Colleen Geier
Activity Title *
Location of Activity (full address) *
Name of Instructor(s) *
Name of Contact Person *
Contact phone number *
Contact Email Address *
Website (optional)
Target Audience (Be specific) *
Activity Start Date *
MM
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DD
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YYYY
Activity Completion Date *
MM
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DD
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YYYY
Start Time for Activity *
Time
:
End Time for Activity *
Time
:
Total Number of CEUs to be awarded for each participant *
Content Area *
Content Level *
Participating Programs *
Submit
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