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CONTINUING EDUCATION UNITS (CEU’S) REGISTRATION FORM FOR 10 WEEK SESSION TRAINING


You may click here to download a PDF version of the form or submit the below form online. If you do not have Adobe Reader to read the PDF file, you can download it from here.


*All registration has to be approved prior to admission.


I. 10 Week Session

Thursdays 7:00pm - 9:00pm Friday 6:30pm - 8:30pm

II. Personal Information








* Do not include hyphens.


III. Employment Information

Yes No * if no, skip to the next section.







* Do not include hyphens.

Yes No


IV. Emergency Information


* Do not include hyphens.


V. Please Tell Us

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