NASAA IAR CE Course Content Application

Course Provider Contact Name *

Course Provider Contact Phone Number *

Course Provider Contact Email Address *

CE Component *

Products & Practices

Ethics & Professional Responsibility

Is this course Instructor-Led, Self-Study, a Conference Event, or an Expert Panel? Note: Instructor-Led courses can be offered remotely or online. *

Instructor-Led - $250.00 (i.e., The course has an instructor assigned)

Self-Study - $250.00 (i.e., No instructor)

Both Instructor-Led & Self-Study - $250.00 (i.e., the instructor-led course will be recorded as a self-study and offered that way as well. This option does require assessment items to be submitted for the self-study offering in addition to any engagement questions submitted to meet the instructor-led requirements)

Conference Event $1,000.00 (Multiple sessions & Course IDs requested - IAR participants can attend several sessions or just one for credit))

Conference Event $1,000.00 (One Course ID requested - IAR participants are required to attend the entire conference)

Expert Panel - $550.00

Please indicate the # of credits you are applying for and hope to offer to participants who complete this course. *

Course Application Attachment *

Course, Conference, or Expert Panel Outline or Course Syllabus Attachment *

Course Assessment Attachment *

Refund Policy Attachment (if applicable)

Other Attachment (as needed)