REQUEST FOR CONTINUING EDUCATION UNITS
(CEU) FOR NON-CREDIT ACTIVITY
RGR-474-0220
Note: The activity chair should complete one copy of this form, secure required signatures and return to the activity coordinator at Florida Tech.
In order for participants to receive CEU credit for the activity, the form must have required signatures in place before the start of the activity.
DATE __________________________________________ PROJECT NO. ___________________________________________ STATE CERTIFICATION NO. _____________________________
ACTIVITY TITLE ______________________________________________________________________________________________________________________________________________
PRINCIPAL INSTRUCTOR _____________________________________________________ SPONSORING UNIT ______________________________________________________________
FORMAT o Evening Class o Extension Class o Short Course o Workshop o Seminar o Special Program o Other
ACTIVITY DESCRIPTION
ACTIVITY OBJECTIVES
ACTIVITY LEVEL o Postsecondary o Undergraduate o Graduate
ACTIVITY DATES _______________________________________________ Daily Hours _______________________________________________ Fee ________________________________
ANTICIPATED ENROLLMENT ____________________________________ Minimum _________________________________________________ Maximum __________________________
TOTAL ACTIVITY CONTACT HOURS ____________________________________ Total CEU* Recommendation ________________________________
*One CEU applies for every 10 contact hours; round down CEU to the nearest whole number
CRITERIA FOR SATISFACTORY COURSE COMPLETION
OTHER INSTRUCTIONS (If any)
APPROVAL RECOMMENDED _________________________________________________________________________________________ DATE ____________________________________
______________________________________________________________________________________ DATE ____________________________________
APPROVAL GRANTED FOR _______________ CEUs
______________________________________________________________________________________ DATE ____________________________________
Chief Academic Ocer
One continuing education unit (CEU) is dened as ten contact hours of participation in an orga-
nized lifelong learning experience, under responsible sponsorship, capable direction and qualied
instruction. The objectives for assigning CEUs to an activity are to:
• Establish permanent records of participants for accumulating, updating and transferring in-
formation concerning their non-credit lifelong learning experience;
• Provide a uniform system for accumulating data at the institutional and organizational levels
to assist in program planning and development, in administration and scal management and
in reporting comparable data; and
• Establish a system of measurement to facilitate the collection of data on a national basis and
provide valid statistical information necessary for public policy determination and legislative
action relating to non-credit, and adult and lifelong learning activities.
Program criteria for receiving CEUs for an activity are that the educational activity fullls each
of the elements in the CEU denition; the program or activity planned is in response to the edu-
cational needs of a target population or clientele group; there is a clear statement of rationale,
purposes and goals prepared for each educational activity prior to initiation; qualied instruc-
tional personnel are directly involved; there is sucient detail to provide necessary informa-
tion for a permanent record of individual participation; there is a system in place for verica-
tion of satisfactory completion and for providing an approved list of those awarded CEU credit
to the oce responsible for maintenance of these records and; there exists a predetermined
evaluation procedure to measure the eectiveness of the program design and operation.
Activities that do not meet the criteria for awarding CEU credit include credit-bearing
programs, high school equivalency, indoctrination programs, committee meetings, policy
assignments, meetings and conventions, mass media programs, entertainment and recre-
ation, work experience, individual scholarship, self-directed studies and association mem-
bership and certication programs.
CONTINUING EDUCATION UNIT INFORMATION
Florida Institute of Technology § Oce of the Chief Academic Ocer § 150 West University Boulevard, Melbourne, FL 32901-6975 § 321-674-8889 § Fax 321-674-7002
