Get Continuing Education Approval Application

This guide provides comprehensive, step-by-step instructions on completing the Continuing Education Approval Application online. By following these instructions, users will ensure the accuracy and completeness of their application.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section A: Program Information, begin by entering the name of the program, followed by its objectives. Specify the number of hours requested for approval, excluding breaks and meals. Indicate the city and state where the program will take place, along with the specific date(s) using the format Month/Day/Year.
3. Provide the name of the program provider and indicate whether the program is open to all licensed Hearing Instrument Specialists by selecting ‘Yes’ or ‘No’. Remember to attach a detailed description of the program content and objectives, which could include a course outline or agenda.
4. In Section B: Presenter Information, fill in the name and qualifications of the presenter. Clearly list any relevant education, experience, and training that qualifies them to present the continuing education program. You may also attach supporting documentation, such as a curriculum vitae or resume.
5. In Section C: Method of Program Attendance Verification, attach a sample of the documentation provided to attendees as proof of attendance. This might be a signature roster, a certificate, or a verification letter. Additionally, explain how attendance will be tracked during the program.
6. In Section D: Signature, print the name of the person completing the application, provide their signature, and include the date. The telephone number and address can be optional but should contain the street, city, state, and zip code. Also, input the email address.
7. Ensure all required items are included with the application: detailed program content description, program objectives, presenter qualifications, number of requested hours, provider details, proof of attendance documentation, and program date, time, and place.
8. Prior to submission, review the application for completeness. Once verified, save changes, download, print, or share the application as needed.

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