CBSPD Application for CEU Approval

**NOTE: ALL in-services are now pre-approved and do not have to be submitted.

**There is a 6 week processing period (at the most) for Ceu approval. Your request will be processed as soon as possible. Please be sure to submit your programs well in advance. We NOW send approval letters via email which makes the process quicker. Be sure to fill out your email address! Thank you.

Please fill out all the information requested in the following form


Phone Number: 

Fax Number: 

**E-mail Address to send your CEU approval letter (in pdf) to: 

Enter the Address that the CBSPD CEU Committee should mail information to:


Facility Name: 

Street Address: 

City/State/Zip Code: 

Program Information

*Note: If you have a brochure, please e-mail it to us at

Program Title: 

Program Duration ( weeks, days, hours..etc ): 
*Note: If over two (2) hours, a program agenda is required.
Ex: 8-10AM "Prog. Title", 11-12PM "Prog. Title", etc.

Program Date: 

Program Location: 

Speakers and Titles of Talks:

Goals of Program:


**If you found you've made a mistake AFTER submitting your order, simply hit the BACK BUTTON to fix it.

NOTE: After you click submit below, you should see a white page appear that has a copy of what you just typed in. If you see this page, it means your request has indeed been submitted to the CEU committee. Please note there is a 6 week processing time frame for approval. Thank you.