CE Credit Co-Sponsorship Post-Course Application | Centers for Integrative Health

Applicant Information

Applicant First Name

Applicant Last Name

Applicant Email

Teacher Information

Teacher First Name

Teacher Last Name

Teacher Email

Co-Teacher First Name

Co-Teacher Last Name

Co-Teacher Email

Program Info

Program Title

Program Start Date

Program End Date

Venue Name

City/Town

State/Province/Region

Country

Total number of participants (including non-psychologists):

Total number of Psychologists:

Total number of Participants who obtained APA CE credit:

Price: $30.00 Quantity:

Total number of Participants who obtained BRN CE credit:

Price: $30.00 Quantity:

Total number of Participants who obtained APA CE credit for courses 6-hours or less

Price: $15.00 Quantity:

Total number of Participants who obtained BRN CE credit for courses 6-hours or less

Price: $15.00 Quantity:

Upon submission of the CE Co-Sponsorship Application form, you must email the Center for Mindfulness at mindfulness@health.ucsd.edu to complete the payment for the total CE fees collected.

Total $0.00

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