Academic Coursework
Note to participant:
This activity form must be submitted to the RID Approved Sponsor upon completion of the academic course.
A copy of the description of the course and the Institution’s transcript or grade report should be attached. The Sponsor will enter the activity information and CEUs online at
Participant Name *
RID Member # *
Participant Address *
Participant Email *
Phone # *
Course Title *
Name of College or University *
What is the number of credit hours assigned to the course? *
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