Continuing Education Presenter Application
Submit your proposal to become a professional development instructor with Counselor's Choice Award.
First Name
Last Name
Email
Phone Number
If you are a licensed mental health professional, what is your license number:
If you are a licensed mental health professional, what is the State and Country of your licensure:
How well developed is your course approximately?
Not yet created
Partially developed
Mostly developed
Fully developed
Have you taught this course before:
I have not yet taught this course
I have taught this course as a live workshop one or more times
I have taught this course as a home-study course one or more times
What is the title of the CE course?
How many Clock Hours is your course (6,000 words for every 1 clock hour for written formats)
What is your course description:
What are the course objectives?
Do you have a video recording of this course being presented live or as a solo lecture?
Yes
No
N/A
Check the box if the following is contained within your course:
A works cited page with at least 5 citations that are no more than 10 years old
A post-test and answer key with 10 questions for the 1st hour and 5 for each additional hour
Any legal disclaimers and disclosures at the beginning of the course
Any videos that are not your own work within the presentation
What is your Bio including education and work experience. (You may also upload your CV/Resume)
Optional: Resume or CV Upload:
Select a File
Max size is 25MB
Optional: Additional documents or course materials for review
Select a File
Max size is 25MB
I want to subscribe to the mailing list.
I agree to Counselor's Choice Award terms & conditions
Apply Now
Powered by