Specific Topic or CEU Request

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Do you need a specific area covered or need professional development credits for your group, business, or organization? Please fill out this form so we can work together to meet your needs!

After reading through your request, I will send you a follow-up email, including a scheduling link for an exploration/planning call.

Email *

Name of Coordinator/Main Point of Contact
*

Name and description of Organization or Event making the request (please include a link if available).

Date or Date Range Requested/Needed
*

This is a request for...
*

A specific/customized topic without the need for CEU/CE or professional development credits.

A specific/customized topic with the need for CEU/CE or professional development credits.

A topic you already have, but we need CEU/CE, Post, or other professional development credits for it.

Other:

Topic Needed/Requested

Type of Credit Needed - please include state/states if applicable and the link needed to apply for credits, which should include requirements.

Who will apply for the credits?

The coordinator/contact or other member of the requesting organization.

We need you to apply for the credit.

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If fees for the credit application are incurred, how will they be handled?

We will cover the fees in advance of, or with, the application for credit.

We will reimburse you for application of the credits at time of application.

We will reimburse you for application of the credits at the time of delivery.

We need these fees to be included in the total training fee.

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Will Certificates of Completion be required?

Yes - Physical CC's are required and must be signed by the trainer.

Yes - Physical CC's are required but they do not need to be signed by the trainer.

Yes - CC's are required but they can be digital.

No - CC's are not required.

I'm not sure.

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In the event certified credits cannot be obtained by the trainer:
*

We do not wish to pursue training.

We still want to pursue the training.

Other

Any comments, questions, or information you have me?

A copy of your responses will be emailed to the address you provided.

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