CEU Presenter Form/Application CEU Form When applying please complete a new form for each course. Course Title(Required) Course Length in Minutes - Actual lecture/learning time must be at least 50 minutes. Do not include breaks, meals, etc.(Required) Speaker's Name(s) - Include their license designations and degrees (i.e. LM, CNM, MA, MD, RN PhD, etc.)(Required) List of Educational Objectives - Describe what knowledge or skills the learners will be able to demonstrate following the learning experience.(Required)Describe Course Content - Statements should support behavioral objectives listed above in learning objectives. List approximately minutes of time spent on each subject area.(Required)Assessment of Learner Outcome - Give examples of how learner achievement will be assessed (check all which will apply, including test questions and answers). Speaker evaluation is the minimum required.(Required) Pre/Post Test Question(s) Written/Oral Exam Demonstration of Skills Discussion Projects Speaker Evaluation Other First Pre/Post Test Question and Answer(Required)Second Pre/Post Test Question and Answer(Required)Third Pre/Post Test Question and Answer(Required)List at least 5 references that you have used to prepare this course (texts, journal articles and other credible sources are acceptable). Be sure to include title (journal and article where appliable) and publications dates.(Required)Brief presenter bio(Required)Upload the presenter's CV here.(Required)Max. file size: 256 MB.Upload the presenter's headshot/image here.(Required)Max. file size: 256 MB. Share236TweetPinShare236 Shares