Get the free ASHA CEU Participant Form - acpa-cpforg

ASHA CEU Participant Form American SpeechLanguageHearing Association Continuing Education Registry AAB Provider Code Course Number 0064 Completion Date 4/21/2012 Submit this form to the Provider at

How to fill out asha ceu participant form

How to fill out ASHA CEU participant form:

1. Start by downloading the ASHA CEU participant form from the official website of the American Speech-Language-Hearing Association (ASHA).
2. Begin filling out the form by providing your personal information, such as your name, address, and contact details. Make sure to double-check the accuracy of the information you provide.
3. Next, indicate your ASHA membership status, whether you are a member or a non-member. This will help determine the applicable fees for attending the CEU activities.
4. Specify the title and date of the CEU activity you are applying for, as well as the location where the activity will take place. This information can usually be found in the event brochure or website.
5. If you are applying for ASHA CEUs for a recorded event or distance learning activity, provide the necessary details, such as the title, presenter, and completion date of the course.
6. Complete the section related to the number of CEUs requested. Depending on the activity, you may need to allocate different amounts of CEUs for each domain (e.g., professional, ethics, supervision).
7. If you are claiming CEUs for independent study or professional contributions, provide a brief summary of the activity or project, including the dates of engagement and the number of CEUs requested.
8. Check the box confirming that you have completed all honesty statements and verify that the information provided is accurate to the best of your knowledge.
9. If applicable, include any additional supporting documentation required to verify your participation, such as certificates of completion or official transcripts.

Once you have completed filling out the form, sign and date it before submitting it to the relevant ASHA department according to the instructions provided. Remember to keep a copy of the form and any supporting documentation for your records.

Who needs ASHA CEU participant form:

1. Speech-language pathologists (SLPs) who are ASHA members and wish to earn continuing education units (CEUs) to maintain their certification.
2. Professionals in related fields, such as audiologists, who hold the Certificate of Clinical Competence (CCC) and want to accumulate CEUs for their continued professional development.
3. Individuals seeking to stay up-to-date with the latest research and advances in the field of speech-language pathology and audiology and gain the necessary CEUs to meet licensure or certification requirements.

Note: It is important to check with your local licensing or certification board to ensure that ASHA CEUs are accepted for renewal in your specific jurisdiction.

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What is asha ceu participant form?

The ASHA CEU Participant Form is a document used to report continuing education units earned by individuals participating in ASHA-approved courses.

Who is required to file asha ceu participant form?

Speech-language pathologists and audiologists who are ASHA members are required to file the ASHA CEU Participant Form.

How to fill out asha ceu participant form?

The ASHA CEU Participant Form can be filled out online through the ASHA website by providing information about the course attended, the number of CEUs earned, and any required documentation.

What is the purpose of asha ceu participant form?

The purpose of the ASHA CEU Participant Form is to track and record continuing education units earned by ASHA members to maintain their certification.

What information must be reported on asha ceu participant form?

The ASHA CEU Participant Form requires information such as the course title, provider, number of CEUs earned, date completed, and any supporting documentation.