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DEADLINE: OCTOBER 30, 2007
CEU Application Timeline Sample
CEU Application
ADDITIONAL INFORMATION IS REQUIRED TO COMPLETE THIS APPLICATON: Time outline of session (breaks included); instructor credentials-resume or brief biography, which illustrates why the speaker is qualified to conduct this session; and, if available, brochures or other printed information. Please send this information to Dina Kartch at dina@ilipra.org
* Session #
* Session Title
* Session Chair
* Agency
* Address
* City, State, Zip
* Phone
* Email
* Section - Please Select - A&F (300s) C&M (900s) EMS (1000s) FAC (600s) IAPD (100s) IPRA (10s) P&NR (200s) REC (400s) STUDENT (800s) TECH (700s) TR (500s)
* Day - Please Select - Thursday* Friday Saturday
* $20 will be deducted from IPRA section account for Thursday Pre-Conference Workshops.
* Time
Room
* # of CEUs
Pre-Conference Workshops (3.5 Hours): 0.3 CEUs, CEU Workshops (2 Hours): 0.2 CEUs, Educational Sessions (1.25 Hours): 0.1 CEUs
* Estimated Attendance
* Objective #1 Clientele to be served:
* Objective #2 New competencies to be achieved:
* Objective #3 Content of subject matter to be covered: