Application for EILA Credit
If your training already has an EILA number issued, you do not need to fill out this form.  You can send your certificate or evidence of attendance to
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Email *
Name *
Program Name *
Presenter Name *
Date of Program *
Number of Hours *
Program Type *
How will the training be held?  
If the program is in person, where did the program take place?
If the program is digital/virtual, please share the website for the training below.
Program Content:  Describe the knowledge/skills you will learn. *
A copy of your responses will be emailed to the address you provided.
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