ALA Continuing Education Program
Form CEPP 2 New Program Application
Fill in your registration information below Click the Submit Registration Button. Once you click on the Submit Registration Button you will be taken to our web page indicating that your registration form has been submitted.
Fill in your registration information below
Click the Submit Registration Button.
Once you click on the Submit Registration Button you will be taken to our web page indicating that your registration form has been submitted.
Date:
Provider No:
Contact Name:
Phone#:
E-mail Address:
Program Title:
Program Description:
Learning Objectives of Program: (minimum of 4)
1.
8.
No of Instruction
Hours Offered:
Qualifies for Health, Safety and Welfare (HSW)*?
Yes No
Qualifies for Sustainable Design Credit*?
Format:
Seminar Forum/Panel Workshop Other
Intended Audience:
Presenter/s:
*HSW – Categories (Refer to CEP Instructions) ** Sustainable Design (Refer to CEP Instructions)
Please email your biography and the biographies of any additional presents along with a PDF of your PowerPoint presentation if available to: ala@licensedarchitect.org
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Association of Licensed Architects 22159 N. Pepper Rd., Barrington, IL 60010 (847) 382-0630 ala@licensedarchitect.org
