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Education CEU Online Application

Primary Information

Please enter number of contact hours applying for in this format: 4.5
Please type each entry on a new line
Has the AzPTA previously approved this course?

Have there been any changes to this course?

Affirmation of Ongoing Review and Assessment *
Copyright and Disclosure *
Affirmation of Complete Application *
Attached Your Completed Application (PDF)
Please be sure that your application includes the following: • Program Description, Goals and Exact Subjects Covered • Upload a Copy of the Timed Outline/Agenda • Learner Behavior Outcomes or Measurable Objectives • Resumes/Curriculum Vitaes of EACH Instructor/Presenter • Participant Evaluation Form If information is missing from your application, it will be returned you so that you may add the requested information.

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