SB-CEU Request

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Request for SB-CEUs

Each application is due 45 days in advance of the start of your program. A program needs to be at least 3 hours and 15 minutes, excluding welcome, breaks, lunch, and housekeeping items.

Please have an agenda ready as you will be required to create or copy and paste your agenda into this form. Thank You!

Today's Date
First Name
Last Name
Email
Phone Number
Tell us about your program:
Please select from the following statements:
	SB-CEUs earned for individual sessions in series. SB-CEUs earned upon completion of all sessions This is a single event.
Program Title
Is this a conference
Category
Select up to two program descriptor from the PDF document to right.

Is this program offered for College/University credit?

College or University contact name and number:

Number of University credits granted?

Who will serve as program monitor (full name please)

Monitor's email:
Provide a brief (3-5 sentences) description of program goals/objectives

Where will sessions be held?
Building
Street Address
City
State
Zip Code
Presenter 1 Information:
First Name
Last Name
Highest Degree Earned
Street Address
City
State
Zip Code
Area of Expertise
Presenter 2 Information
First Name
Last Name
Highest Degree Earned
Street Address
City
State
Zip Code
Area of Expertise
Presenter 3 Information
First Name
Last Name
Highest Degree Earned
Street Address
City
State
Zip Code
Area of Expertise
If this program is multiple days, please list each day's date & time individually

_____________________________________________________________________________________________
Please copy and paste your detailed agenda in the space provided.

General Ed / Early Childhood

D.A.T.A.

Professional Development

SB-CEU Request

Opening Day PD Handouts 2011-12

Poverty Reduction Initiative

REMC II and Online Learning Resources

Pupil Accounting

SB-CEU Descriptor Codes

MOISD - 15760 190th Ave | 15760 S. Bronson (GPS location) | Big Rapids, MI 49307 | Phone (231) 796-3543 | Fax (231) 796-3300