2019 NAC Workshop Provider Application

In submitting this approved provider application, I and my organization fully understand that it is an application only and does not guarantee Approved Provider status. I and my organization understand and, by my signature, attest that I and my organization understand the criteria for NAC credit, and if approved as a NAC Approved Provider, will mark only the programs we offer that meet the criteria as eligible for NAC credit. I and my organization further understand that any false statement or misrepresentation of NAC eligibility by us may result in the revocation of this application or approved provider status.
I and my organization understand that NECPA reserves the right to revise or update this application and credit eligibility requirements. NECPA will inform me/my organization of any changes to credit eligibility criteria, and that it is my/my organization’s responsibility to update our NAC Approved Provider related web pages and information accordingly. I further understand that it is my responsibility to provide NECPA with any requested documentation in connection with this application.
I and my organization understand and agree that if my organization is accepted as a NAC Approved Provider, we authorize NECPA to include the organization in a list of Approved Providers and agree to use the NAC Approved Provider status and web sticker, and related NECPA and NAC trade names, trademarks, and logos only as permitted by NAC policies.