At the completion of your program, please submit the following:
- An Electronic copy of an Excel spread sheet with the attendee’s information sent through email (Link to the Template-CEU_reporting.xls file).
- Please set up the spreadsheet with following fields in order as indicated:
first name, last name, affiliation, address, city, state, zip code, email, date of course, location, ID Code. - At the top of each sheet indicate Organization name and contact person
Link to the Template-CEU_reporting.xls file - A summary of the evaluation forms, be sure the proper identification is included with the evaluations (city, date, and course code).
- Please note, we do not need copies of all the evaluations but rather require a summary.
- Check ($5.00 per person) to cover the number of people requesting CEUs --
made payable to the University of Pittsburgh.
Email forms to (and mail application fee to):
Karl A. Kemmerer
Continuing Education Manager
University of Pittsburgh
6425 Penn Avenue, Suite 401,
Pittsburgh, PA 15206
Email: kak216@pitt.edu
For assistance with the content of this application, you may also contact;
Rachel M. Hibbs, DPT, NCS, ATP
Director of Continuing Education
Email: rachel.hibbs@pitt.edu
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Updated | 10.08.2021
