Cosponsorship Application for ACEPs
In a cosponsorship, an ACEP partners with another continuing education provider and uses its
ACEP number and/or NBCC approval information to offer NBCC credit for a CE program. An
ACEP may not loan, lend, sell or transfer its NBCC ACEP number or otherwise permit any
other organization, business or individual to use its ACEP number outside of an
approved cosponsorship. Two or more ACEPS can also cosponsor a program by submitting a
completed application for approval. If the cosponsorship does not include an unapproved
provider, the application fee is waived.
ACEP Name: ________________________________________________________________ ACEP Number: _______
Street Address: ___________________________________________________________________________________
City, State, ZIP Code: ______________________________________________________________________________
Business Telephone: _______________________ Business Web Site: ______________________________________
ACEP Administrator Name: __________________________________________________________________________
ACEP Administrator E-mail: _________________________________________________________________________
Cosponsoring Organization Information
Cosponsoring Organization Name: ____________________________________________________________________
Contact Person: ___________________________________________________________________________________
Contact Person’s E-mail: _____________________________________ Telephone: _____________________________
Cosponsoring Organization Web Site: __________________________________________________________________
Street Address: ____________________________________________________________________________________
City, State, ZIP Code: _______________________________________________________________________________
The ACEP must submit a separate application for each distinct program pertaining to this cosponsor relationship. If a
single program will be offered multiple times, refer to the pricing options below.
Applications are reviewed in the order they are received.
Applications received less than 90 days prior to the
program date are not eligible for review.
email@example.com with questions.
Only live events will be considered. Incomplete applications will not be accepted. Submission of a completed
application does not guarantee approval. Application fees are nonrefundable.
Send application, required materials and payment form to:
NBCC CE D
3 Terrace Way
Greensboro, NC 27403-3660.
You may also fax to 336-547-0017 (Attention: CE