CEU Request
Thank you for contacting MSAND for your CEU approval. Please fill out the following information to begin the process. Our Executive Director Carrie Kiley will contact you with an invoice for your request and update you on the status throughout the process. Please note that all CEU requests must be submitted at least 4 weeks prior to the event to allow for time to review and enter in the CDR database.

If you have any questions, please feel free to reach out to her at msand@eatright.org.

Pricing:
1-5 CEU activity - $30
6-10 CEU activity - $60
11+ CEU activity - $80
Journal Clubs - $10/session

Organization Name *
Contact Person Name *
Contact Person Email *
Contact Person Phone Number *
Type of Activity Requesting: *
If a live event, what city will the event take place in?
If a live event with poster sessions, please indicate the number of poster session CEUs requesting:
Title of Activity *
Date of Activity *
MM
/
DD
/
YYYY
If more than one day, please enter additional dates:
Number of CEUs requested *
Level of CEUs requested *
Required
Target Audience:
Learning Objectives (up to 4) *
Learning Needs Codes (up to 4). See codes below *
Learning Need Codes
Essential Competencies (http://bit.ly/2roKAJ0 - please provide all three numbers; for example 1.6.4) (up to 4) *
Please attach an agenda with timing breakdown of start/stop times *
Required
Please upload all speaker resumes or CVs (note: if you have more than 10 speakers, please email Carrie at msand@eatright.org with additional resumes) *
Required
Invoicing and Payment
Carrie will send you confirmation and an invoice. If you have any questions, please feel free to reach out to her at msand@eatright.org.
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