CEU Sponsorship Application - Member Rates - Arkansas Registry of Interpreters for the Deaf

CEU Sponsorship Form - Member Rates

"*" indicates required fields

Verification of eligibility of granting CEUs

I understand that I must contact pdc@arkansasrid.org to get approval that your activity qualifies for RID CEUs prior to completing this form. **Please note that no refunds will be issued if this step is not completed before form submission.**

What type of CEU Sponsorship would you like to process?*

($60) - Conference Processing

($30) - Workshop Processing

($20) - PINRA (Participant Initiated Non-RID Activities)

($20) - Academic Coursework

($25) - Independent Study

Conference Processing Checklist

Please select that you have all of the items required to submit your Conference Processing before continuing to the next page. You will be asked to provide/upload all of the documentation before you can process payment.

Conference Processing - Please check all of the items you currently have. You must have all of this information before continuing to the next page.*

If you have any question or concerns gathering all of the required documentation to process your request please contact pdc@arkansasrid.org.

Contact pdc@arkansasrid.org to see if your conference will qualify for RID CEU's

Completed RID Instructor Form (Form located on CEU Processing homepage)

Presenter Bio (1 for each Presenter)

Presenter Resume (1 for each Presenter)

Workshop Flyer/Promotional Material (Must include all requirements listed under Conference Processing description dropdown on CEU Processing homepage)

I understand I will not be able to complete this form unless I have all of the above documentation.

I understand.

Workshop Processing Checklist

Please select that you have all of the items required to submit your Workshop Processing before continuing to the next page. You will be asked to provide/upload all of the documentation before you can process payment.

Workshop Processing - Please check all of the items you currently have. You must have all of this information before continuing to the next page.*

If you have any question or concerns gathering all of the required documentation to process your request please contact pdc@arkansasrid.org.

Contact pdc@arkansasrid.org to see if your workshop will qualify for RID CEU's

Completed RID Instructor Form (Form located on CEU Processing homepage)

Presenter Bio

Presenter Resume

Workshop Flyer/Promotional Material (Must include all requirements listed under Workshop Processing description dropdown on CEU Processing homepage)

I understand I will not be able to complete this form unless I have all of the above documentation.

I understand.

Academic Coursework Processing Checklist

Please select that you have all of the items required to submit your Academic Coursework Processing before continuing to the next page. You will be asked to provide/upload all of the documentation before you can process payment.

Academic Coursework Processing - Please check all of the items you currently have. You must have all of this information before continuing to the next page.*

If you have any question or concerns gathering all of the required documentation to process your request please contact pdc@arkansasrid.org.

Contact pdc@arkansasrid.org to see if your Academic Coursework will qualify for RID CEU's

Completed Academic Coursework Activity Report Form (Form located on CEU Processing homepage)

Course Description/Outline

Proof of College/University Accreditation

I understand I will not be able to complete this form unless I have all of the above documentation.

I understand.

Independent Study Processing Checklist

Please select that you have all of the items required to submit your Independent Study Processing before continuing to the next page. You will be asked to provide/upload all of the documentation before you can process payment.

Independent Study Processing - Please check all of the items you currently have. You must have all of this information before continuing to the next page.*

If you have any question or concerns gathering all of the required documentation to process your request please contact pdc@arkansasrid.org.

Contact pdc@arkansasrid.org to see if your Independent Study will qualify for RID CEU's

Completed Independent Study Plan (Form located on CEU Processing homepage)

Any other Pertinent Documentation (Outline, Syllabus, Agenda, Flyer, etc.)

I understand I will not be able to complete this form unless I have all of the above documentation.

I understand.

PINRA (Participant Initiated Non-RID Activities Processing Checklist

Please select that you have all of the items required to submit your PINRA Processing before continuing to the next page. You will be asked to provide/upload all of the documentation before you can process payment.

PINRA Processing - Please check all of the items you currently have. You must have all of this information before continuing to the next page.*

If you have any question or concerns gathering all of the required documentation to process your request please contact pdc@arkansasrid.org.

Contact pdc@arkansasrid.org to see if your PINRA will qualify for RID CEU's

Completed PINRA Form (Form located on CEU Processing homepage)

Pertinent documentation related to event (brochure, flyer, registration Form, agenda, etc.)

I understand I will not be able to complete this form unless I have all of the above documentation.*

I understand.

Conference Processing - RID Instructor form (Please upload 1 document per workshop in this area)*

Drop files here or

Max. file size: 450 MB.

Conference Processing - Presenter Bio (Upload each presenter's bio separately (on their own document) in this area.*

Drop files here or

Max. file size: 450 MB.

Conference Processing - Presenter Resume (Upload each presenter's resume separately (on their own document) in this area.*

Drop files here or

Max. file size: 450 MB.

Conference Processing - Conference Flyer/Promotional Materials*

Drop files here or

Max. file size: 450 MB.

Workshop Processing - RID Instructor form*

Drop files here or

Max. file size: 450 MB.

Workshop Processing - Presenter Bio*

Drop files here or

Max. file size: 450 MB.

Workshop Processing - Presenter Resume*

Drop files here or

Max. file size: 450 MB.

Workshop Processing - Workshop Flyer/Promotional Materials*

Drop files here or

Max. file size: 450 MB.

Academic Coursework - Completed Academic Coursework Activity Report Form*

Drop files here or

Max. file size: 450 MB.

Academic Coursework - Course Description/Outline*

Drop files here or

Max. file size: 450 MB.

Academic Coursework - Proof of College/University Accreditation*

Drop files here or

Max. file size: 450 MB.

Independent Study - Completed Independent Study Plan

Drop files here or

Max. file size: 450 MB.

Independent Study - Any pertinent documentation (outline, syllabus, agenda, flyer, etc.)

Drop files here or

Max. file size: 450 MB.

PINRA (Participant Initiated Non-RID Activity) - Completed PINRA Form*

Drop files here or

Max. file size: 450 MB.

PINRA (Participant Initiated Non-RID Activity) - Any pertinent documentation (brochure, flyer, registration form, agenda)

Drop files here or

Max. file size: 450 MB.

Contact Information

Legal Name*

First Last

RID Number*

Contact Info

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Preferred Phone Options:*

VP Number

Mobile - Text Only

Voice Phone (cell, landline, VoIP)

VP Number*

Mobile - Text Only Number*

Voice Phone Number*

CEU Sponsorship Payment

Total

Hidden

Coupon

Payment Method*

This field is for validation purposes and should be left unchanged.

CEU Sponsorship Application – Member Rates

CEU Sponsorship Form - Member Rates

Conference Processing Checklist

Workshop Processing Checklist

Academic Coursework Processing Checklist

Independent Study Processing Checklist

PINRA (Participant Initiated Non-RID Activities Processing Checklist

Contact Information

Contact Info

CEU Sponsorship Payment

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