ATSNJ CEU Form

If you would like to have your conference/ symposium/ workshop listed on our website, please provide us with the necessary information below.  Upon review by our Professional Education Committee, you will be notified whether your program fits within our professional domains, thus qualifying it to be posted.

 


Information about person filling out this form (this information not included on posting)


First Name

Last Name

E-mail Address
Phone Number

Information to be posted on website

Program Sponsor
Title of Program
(This refers to the name of the program)
Number of Ceu's
(Approved by the NATABOC or DOE)
Summary/Goals of Program
Location
Date
Time
(Start and finish time)
Pre-Registration Deadlines
Registration Fee
(Pre-Registration and On-site)
Website Address
(if program can be found on web)
Correspondence to
Name
Institution
Street Address
City
State
Zip Code
Other Address Info
Phone Number
Fax
E-mail
Date Posted

Check box if you want this posted on the District 2 web site, as well.