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Request for Elective Credit
Reminder: Use the "tab" key to advance to the next field...not the "enter" key.
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Please complete your request by supplying this information:
Date of the submission
Your Name
Your e-mail address
Course/Workshop Title
If a Workshop, provide information on the contents here
Course/Workshop Sponsor
Instructor
Location of Course/Workshop
Date(s) of Workshop
Contact Hours
Amount of Credit
You will be notified as to whether or not the Course/Workshop has been approved.
Once you have received approval, attended the Course/Workshop, please resubmit this form with paper if required.
Approvals
(For Office Use Only)
1/3 credit - 6 contact hours plus a 3 - page paper
Please remember to print a copy of this for your records BEFORE submitting this form online.