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So, you're interested in submitting a program for continuing education credits? We're happy to take you through the process. You will need to fill out the following forms when you begin to plan your CE activity:

Prior to program planning:

Contact an ESN liaison. If an ESN liaison is not involved in the planning, no program forms will be considered. Call 734.763.5283 to identify your liaison.

Program planning:

  • The very first form to fill out is the Basic Information form.This online form asks for program name, date, planner name, planner email, and ESN liaison.
  • The online Checklist is required to track program forms. Select the title of your program by clicking here, then choose the Checklist button.

    The following forms are Microsoft Word documents (instructions):
  • Proposal (6 pages)
  • Educational Activity Documentation (1 page)
    Choose one version:
  • Biographical Data (1 page)
  • CE Faculty and Planner Disclosure (1 page)
  • Evaluation:

After program completion:

  • Select the title of your program by clicking here, then choose the Statistical Data Sheet button. Remember that you must provide evidence of listing in MLearning.
  • Submit a copy of the CE certificate distributed.
  • Submit a copy of the participant record, if all participants are not entered into MLearning.
  • Submit a copy of the evaluation summary, if available.

 

 

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