Academic Course Work Activity Report
Note to participant:
A copy of the description of the course and the Institution’s transcript or grade report should be emailed to CMP@ICRIG.org. This activity form must be submitted upon completion of the academic course. The Sponsor will file the paperwork online at www.rid.org for CEU processing at the RID national office.
Email address *
CMP Participant Name *
Your answer
RID Member # *
Your answer
CMP Participant Address *
Your answer
CMP Participant Email *
Your answer
Phone # *
Your answer
CMP Participant Cycle End Date *
MM
/
DD
/
YYYY
Course Title *
Your answer
Name of College or University *
Your answer
Number of credit hours for the course *
Your answer
Quarter or Semester *
To which CMP Content Area does this course apply? *
Required
Course Start Date *
MM
/
DD
/
YYYY
Course Completion Date *
Your answer
Verification *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Indiana chapter of Registry of interpreters for the deaf. Report Abuse - Terms of Service - Additional Terms