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Reset a Form APPLICATION FOR APPROVAL TO PROVIDE CATEGORY I CONTINUING EDUCATION FOR LSW / LCSW / LMFT / LMHC / LAC / LCAC BEHAVIORAL HEALTH AND HUMAN SERVICES LICENSING BOARD PROFESSIONAL LICENSING AGENCY 402 West Washington Street Room W072 Indianapolis Indiana 46204 Telephone 317 234-2064 E-mail pla5 pla*IN*gov State Form 50841 R4 / 11-10 Approved by State Board of Accounts 2010 FOR OFFICE USE ONLY Fee amount Date fee paid month day year Receipt number Reviewed by Date registration issued...
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How to fill out APPLICATION FOR APPROVAL TO PROVIDE CATEGORY I CONTINUING EDUCATION

01
Obtain the APPLICATION FOR APPROVAL TO PROVIDE CATEGORY I CONTINUING EDUCATION form from the appropriate regulatory body.
02
Read the instructions and guidelines carefully to understand the requirements for submission.
03
Fill out the organization’s information, including name, address, and contact details.
04
Provide a detailed description of the proposed continuing education program, including objectives, curriculum, and target audience.
05
Indicate the qualifications of the instructors or speakers involved in the program.
06
Specify the method of assessment or evaluation for participants to measure learning outcomes.
07
Include any supporting materials, such as brochures, syllabi, or lesson plans, as required.
08
Review the application for accuracy and completeness before submission.
09
Submit the application along with any required fees to the designated authority.
10
Await confirmation or additional requests for information from the regulatory body.

Who needs APPLICATION FOR APPROVAL TO PROVIDE CATEGORY I CONTINUING EDUCATION?

01
Educational providers who want to offer continuing education programs in a professional field or specialty.
02
Organizations seeking to enhance the skills of professionals through accredited programs.
03
Institutions required by licensing boards to provide evidence of continuing education offerings.
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The APPLICATION FOR APPROVAL TO PROVIDE CATEGORY I CONTINUING EDUCATION is a formal request submitted by educational providers to gain official recognition for their continuing education programs, ensuring that they meet established standards for professional development.
Educational institutions, organizations, and individuals who wish to offer approved continuing education programs in Category I are required to file this application.
To fill out the application, providers must provide detailed information about the course content, objectives, target audience, instructional methods, and qualifications of the instructors. Additionally, supporting documentation must be attached.
The purpose of this application is to ensure that continuing education offerings meet quality standards and are relevant to the professional development needs of participants, enhancing their skills and knowledge.
The application must include details such as course title, description, learning objectives, schedule, credentials of the instructors, evaluation methods, and evidence of prior approval if applicable.
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