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Continuing Education Pre-Course Delivery Form

Please complete the form below. Required fields marked with an asterisk *
Is this course fee waived for authorized individuals*
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Does this class lead to an federal, state, or industry recognized credential?*
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Does this course have clinical hours contained in the total number of hours*
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Does this course have lab hours contained in the total number of hours*
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Is this course completely on-line?*
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If completely on-line is it synchronous (meets specific date and time on-line) or asynchronous (students do not have specific date and time, course is always available) or both.
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Is this course Hybrid or Web Assisted?*
Hybrid means the course has more than 50% as an on-line component. Web-Assisted means the course is less than 50% on-line.
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Is there a day that the class will meet for orientation prior to the start date of the class?*
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Upload your course syllabus and/or class schedule
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