CPSP CEU Verification Form
Register for CEU's obtained through CPSP events. Event registrations and any outstanding invoices related to the event must be paid in full before a CEU certificate can be emailed to requesters.
Your name - first and last, as it should appear on your certificate, and without titles, degrees, etc. *
Your answer
Your email address *
Your answer
Are you a member of CPSP? *
Required
Start date of activity (event, workshop, conference) *
MM
/
DD
/
YYYY
End date of activity (if a one day activity, select the same date as above.) *
MM
/
DD
/
YYYY
Location of activity
City and state or providence, if applicable
Activity title *
Required
If you selected "Other", above, please type the name of the event, below:
Your answer
Number of hours completed *
Your answer
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