Request for Board Approval of Continuing Education

Any continuing education not approved by one of the above organizations must have approval from the Board. Bear in mind that Board approval will require that we review the course content to determine if it is appropriate. Do not wait until the last minute if you expect Board approval for CE credits. This information may be submitted to the Board for our review at any time during the licensure period. If you would like to have approval before you take the continuing education you must submit the information allowing us at least two weeks for action. CE credits must be obtained during the two years prior to the renewal date in order to count.

Licensee Requesting Approval

Area of Licensure

WV License Number

Title of Course

Name of Chief Presenter

Credentials

Location & Date(s)

Time

Sponsoring Agency

Contact Person & Phone #

Goals

Continuing Education Hours Requested

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