Get Continuing Education Provider Application - Mississippi State Board ...

This guide provides clear, step-by-step instructions on how to effectively fill out the Continuing Education Provider Application for the Mississippi State Board. Ensuring accuracy and completeness in your application will help facilitate the approval process for your educational courses.

Follow the steps to complete your application efficiently.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editing software.
2. Provide the name and address of your course provider in the designated fields. Be sure to include any relevant details for accurate processing.
3. Indicate the type of business by checking the appropriate box: School, Manufacturer, Association, or Other.
4. Fill in the contact person's information, ensuring you include their telephone number and, if applicable, fax number and email address.
5. Specify the course name, ensuring it accurately reflects the content being taught.
6. Select the eligible license category for attendees by checking one or more boxes for Cosmetologist, Manicurist, Esthetician, or Instructor.
7. Indicate the number of continuing education credit hours for the course, excluding breaks and meals.
8. List the fee for licensees to attend the course in the appropriate field.
9. Define the type of training being provided (e.g., Seminar, Workshop, or Other) and specify if it is hands-on training.
10. State the maximum number of attendees allowed for the course.
11. Provide the initial date and time of the course offering, making sure to submit this application at least 45 days prior to the date.
12. Enter the location of the initial offering, including the business name, full address, city, state, and zip code.
13. If applicable, attach a list of additional dates, times, and locations for future offerings.
14. Attach required documents such as the course outline, resumes for instructors, and any other relevant information.
15. Review the completed application, ensuring all fields are accurate, then save your changes, download, print, or share the form as needed.

Complete your Continuing Education Provider Application online to ensure timely processing and approval.