CEU Provider Application Apply to have your course/program approved for PACCC CEU credits. Application for CEU Designation (Company/Material Owner)First Name(Required)Last Name(Required)Email(Required) Phone(Required) Country Phone Number Course/Program DetailsCourse Program Name(Required)Course/Program Content Description(Required)Format(Required) In-Person Presentation or Course Online Presentation of Course Webinar Print Other Time Required to Complete (in Hours)(Required)Is a Certificate Issued to Participant Upon Completion(Required) Yes No Content is Congruent with PACCC Code of Ethics(Required) Yes No I don't know Does the presenter have current certifications/credentials applicable to the content contained in this program?(Required) Yes No Please list their current certifications/credentials(Required)Preferred contact information for anyone interested in taking the courseCompany Contact First NameCompany Contact Last NameCompany Contact Email Program Registration URL How did you hear about us?CAPTCHA Δ
