CEU Approval Petition

Note: With regard to this form, approval must be granted prior to announcment or promotion of CEU availability and prior to the start of the program. Once this form is submitted, please allow two weeks to complete the approval and processing. There is a $25.00 fee associated with submitting this CEU petition.


Title of Activity/Course  
Activity/Course Objectives  
Brief Description
Event Web Site Address
Planning Consultation This is the make up of the planning committee/team for the program
Target Audience
Estimated Attendance  
Event Location  
Content Level
Tentative Start Date  
Tentative End Date  
Cooperating Non-WSU
Organizations
Total CEU's Requested Examples:
14 hrs = 1.4 CEU
16.5 hrs = 1.6 CEU (not 1.65)
   
* CEU's calculate as 1.0 CEU = 10 hours of instruction
Source of Revenue How the activity is being funded i.e., state supported, registration fees, county funds, etc.
Enrollment Fees The CEU processing fee is always $10. If an additional fee is charged, list it for example as $40 + $10
Instructor(s): (one per line)
Method of Determining
Satisfactory Completion This describes how the instructor will evaluate the students’ learning outcomes. Attendance is no longer an acceptable measure of assessment. All CEU programs must include some form of substantive assessment of learning.
Activity Director Name This CEU petition should be filled out by the person responsible for the content of the program.  
Activity Director Email
Sponsoring Academic or
Administrative Unit The county, department, CDPE, etc.
Comments

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