Chapt CEU Application-Workshops/Seminars

Official Chapter CEU Application Form for Chapter Workshops/Seminars

Do not use this form for Chapter Conferences with multiple concurrent sessions. Return to the CEU page and click on the Chapter CEU Application Form for Chapter Conferences.

APWA Chapters must submit a separate form for each Workshop/Seminar for which they wish approval to offer CEUs to participants. Application for CEU approval must be submitted to APWA at least 10 working days prior to the event date. APWA will notify the chapter contact of approval by email and include all of the procedures, participant forms, and validation stickers by email attachment.

A $35 application fee is due to APWA, once approval of this application is granted. San invoice will be sent electronically to the chapter treasurer and included with the approval email to the requester.

If you have not been notified of the application status within 5 working days of submitting this form, please call Education and Credentialing Department at 1-800-848-APWA or via email at ceu@apwa.net

Chapter Contact Information:

Sponsoring Chapter:

Organization:

Name:

Title:

Address:

City:

State/Province:

Zip/Postal Code:

Email:

Phone:

Fax:

Workshop/Seminar Information:

Title of Event:

Target Audience:

Dates Scheduled:

Estimated Attendance:

In the space below, list the complete agenda for this event, including beginning/ending times, instructional hours, scheduled coffee breaks and meals, etc.
Agenda:

At the conclusion of this program, participants will be able to:
Learning Objectives:

Instructor Information:

Instructor 1

Name:

Title:

Organization:

Address:

City:

State/Province:

Zip/Postal Code:

Email:

Phone:

Instructor 2

Name:

Title:

Organization:

Address:

City:

State/Province:

Zip/Postal Code:

Email:

Phone:

Instructor 3

Name:

Title:

Organization:

Address:

City:

State/Province:

Zip/Postal Code:

Email:

Phone:

Instructor 4

Name:

Title:

Organization:

Address:

City:

State/Province:

Zip/Postal Code:

Email:

Phone:

How will the chapter use the information obtained through participant evaluations?
Usage:

Evaluation:
I will email a copy of my evaluation tool to APWA’s Education and Credentialing Department at ceu@apwa.net Subject line should be the title and date of the workshop event.
I have attached a copy of my evaluation tool below.
File size should be less than 4MB

Description of EACH Educational Session (2-4 line sentence description) in your workshop/seminar How would you like to submit the Description of Educational Sessions?
I will email to ceu@apwa.net Subject line should be the title and date of the workshop event.
Attach with form:File size should be less than 4MB.

Staff Contact: Education and Credentialing Department