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 At the completion of your program (or session) you will submit the following:

  1. An Electronic copy of an Excel spread sheet with the attendee’s information sent through email (Link to the Template-CEU_reporting.xls file).
  2. 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.
  3. At the top of each sheet indicate Organization name and contact person
    Link to the Template-CEU_reporting.xls file
  4. A summary of the evaluation forms, be sure the proper identification is included with the evaluations (city, date, and course code).
  5. Please note, we do not need copies of all the evaluations but rather require a summary. If you have questions, please call us to discuss this (412.624.6366).
  6. 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):

Meghan Wander
University of Pittsburgh
6425 Penn Avenue, Suite 401,
Pittsburgh, PA 15206
Email: mew135@pitt.edu
Phone: 412.624.6366 FAX: 412.624.6501

For assistance with the content of this application, you may also contact;

Mark R. Schmeler, Ph.D., OTR/L, ATP
Director, Continuing Education Program
Email: Schmeler@pitt.edu


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Updated | 03.26.2014