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PRIVATE PROCESS SERVER INDIVIDUAL REQUEST FOR
APPROVAL OF INDEPENDENT LEARNING ACTIVITY
Continuing Education points are awarded in accordance with the adopted Program Continuing Education Policy.
Credit is awarded based on content and clock hours of study. Descriptions and credentials must be submitted for
each session.
PROCESS SERVER’S INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP: PHONE:
EMAIL: FAX:
TYPE OF PROGRAM:
Please check type of activity:
Self-Paced Internet Class Credit Hours Requested:
Audio/Video Presentation
Authoring of Article Directly Relevant to Job
Correspondence/Home Study
Activity Name
Date
Time
Credit
Hours
Sponsor Name
Instructor/Faculty
Name
Example:
AZ Rules of Civil Procedure
7:00-
8:30
1.5
AZPPS
John Doe
MAX CREDIT FOR INDEPENDENT STUDY PER YEAR IS 5 HOURS (1/2 OF REQUIRED TOTAL)
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REQUIRED DOCUMENTATION TO BE ATTACHED: INDEPENDENT LEARNING
MUST INCLUDE A SUMMARY OF WHAT WAS LEARNED AND EXPLANATION OF
HOW THE CONTENTS DIRECTLY RELATE TO PROCESS SERVING. ***COURSES
THAT HAVE NOT BEEN PREAPPROVED MUST HAVE AN ATTACHED AGENDA AND
COURSE MATERIALS PROVIDED BY SPONSOR. YOUR REQUEST WILL NOT BE
APPROVED WITHOUT THESE DOCUMENTS.
I am submitting the above request for continuing education credit with the
understanding that I may be required to provide additional documentation as requested by
the presiding judge or his/her designee.
Applicant Signature: ______________________________Date: _____________________
Shaded area is for official use only
Approved Credit Hours ______ More Information Needed
Explain: _____________________________
Denied Reason ______________________________________________________
Signature: ____________________________________________