Workshops - NECPA

National Administrator Credential (NAC) Continuing Education Workshop Application for Approval Form

Note: Submit this form at least six weeks prior to the date of the workshop. If the workshop is approved, the NAC logo and appropriate verbiage to use to identify the workshop as NAC Continuing Education approved.

Applicant Information
Sponsor of Workshop*
Name of Person Completing This Application*
First Last
Your Title*
Phone
Email*
Workshop Information
Date of Workshop*
MM slash DD slash YYYY
Title of Workshop*
Length of Workshop (Hours)*
Name of Instructor(s)
Educational Qualification of Instructor(s)*
Resume of Instructor (Optional)

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Experience Qualification of Instructor(s)*
Supporting Documents for Experience (Optional)

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Applicable NAC Core Competency/ Competencies*
Outline of Workshop*
Workshop Outline Upload (Optional)

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How is Your Organization Properly Scheduling Clients to Maximize Enrollment?*
Will there be any evaluation of the students?*
- Yes
- No
If You Answered 'Yes'; Please Describe the Evaluations*
What is the Value of the Workshop?*
If you answered 'Clock Hours' to the question above, how many?
Is the workshop approved for your state’s training requirements through your licensing agency?
- Yes
- No
Certification
By submitting this application, you certify that this information is accurate to the best of your knowledge.

Applicant Information

Workshop Information