NBCC Continuing Education Calendar
Listing Request Form
As a service to NBCC certicants and approved providers of continuing education, NBCC maintains a calendar of live continuing
education programs on its Web site (www.nbcc.org). NBCC Approved Continuing Education Providers (ACEPs) and organizations
that have had single programs (SPs) approved may list events free of charge; however, content is subject to NBCC approval.
DIRECTIONS
To submit program listings via e-mail: Complete this form and click the “submit” button at the bottom of the page to e-mail
your request. You will need Adobe Acrobat 7 or better to ll out the form electronically.
You may instead provide the required information (listed below) in the body of an e-mail and send it to continuinged@nbcc.org.
To submit program listings via fax: Complete this form electronically or by hand and fax to NBCC at 336-547-0017.
To submit program listings via postal mail: Complete this form and submit it to NBCC Continuing Education Calendar,
3 Terrace Way, Greensboro, NC 27403-3660
Important note: In order for items to appear in the calendar’s monthly update, they must be received no later than the 20th
of the preceding month.
Name of organization holding NBCC ACEP status or SP approval:_____________________________________________________
NBCC ACEP or SP number: _________ Contact person for listing: _____________________________________________
Contact information for listing: ________________________________________________________________________________
Form completed by: ________________________________________ Date: _____________________
ACEP or SP INFORMATION
®
PROGRAM INFORMATION
Date of program: ____________________ Location:______________________________________________________________
Title: _____________________________________________________________________________________________________
Date of program: ____________________ Location:______________________________________________________________
Title: _____________________________________________________________________________________________________
Date of program: ____________________ Location:______________________________________________________________
Title: _____________________________________________________________________________________________________
Date of program: ____________________ Location:______________________________________________________________
Title: _____________________________________________________________________________________________________
If necessary, continue adding live event programs on page 2.
The "submit" button is compatible only with Internet Explorer. If you are using another
browser, please save your
changes and e-mail the form to continuinged@nbcc.org.
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