Post-Approval Request Form

Full Name*

CVRP Certification(s) # and Number*

Address

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

Personal Phone*

Email*

Title of Education Session*

Please provide the link to education session if available.*

Sponsor for Education Session*

Date of Education Session*

MM

DD

YYYY

Education Category: (1 CEU per hour of Study/Service, unless otherwise stated)*

1. A Published, Peer Review Article – 15 CEUs; A Published Book Chapter – 30 CEUs; A Published Book – 50 CEUs
2. 15 CEUs for one Semester Credit; 10 CEUs for one Quarter Credit
3. 10 CEUs for each Semester; 7 CEUs for each Quarter
4. 15 CEUs per Review
5. 50 CEUs for each Study Guide

The number of Continuing Education Units anticipated

Focus Area*

Please describe the learning goals or expected outcomes.

The system utilized to evaluate the event and to evaluate if the learning goals and objectives were achieved:

What instructional methods were used and was appropriate time devoted to each method?

Follow-up procedures, out of session or homework assignments:

Date of Submission:*

MM

DD

YYYY

Please upload in the tabs below a copy of the program agenda, the program description and the CV of the presenter. Process of the request for approval may be delayed until the supporting information is received.

Alternatively please send the required supporting documents to
College of Vocational Rehabilitation Professionals and Vocational Services
4 Cataraqui Street, Suite 310
Kingston ON K7K 1Z7

Fill out a separate form for each continuing education activity

Program Agenda

Program description and CV'S of presenters