Accreditation Request Form

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Don’t see any programs in your jurisdiction? We can help! Let us know what programs you are interested in by filling out this form, and we will apply for credit in your jurisdiction.

Title of the Program or Course number for which you are requesting credit. *

How are you attending this course? *

Live Webinar

On-Demand

Submitting Request Before Registration

In which jurisdictions would you like credit? *

AR * Need to know 35 days in advance of the presentation date

CO * Need to know 26 days in advance of live webinar

DE * Not available if the course is over 2 years old

ME * Need to know 35 days in advance of presentation date

NE * Not available if the course is over 2 years old

WI * Not available if the course is over 2 years old

Other

Required

Email Address *

Phone Number *

Recommended speakers or topics: Please let us know what you'd like to see in our upcoming programs.

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