District 2 CEU Form

If you would like to have your conference/ symposium/ workshop listed on our web site, please provide us with the necessary information below.  Upon review, you will be notified whether your program fits within our professional domains, thus qualifying it to be posted.

For questions, please contact Joe Cygan, MS, ATC at 518-523-8450 or through e-mail at joseph.cygan@usoc.org


Information about person filling out this form
(this information will not be included on posting)


First Name

Last Name

E-mail Address
Phone Number

Information to be posted on web site

Program Sponsor
Title of Program
(This refers to the name of the program)
Number of Ceu's
(Approved by the NATABOC or DOE)
Summary/Goals of Program
Location
Date
Time
(Start and finish time)
Pre-Registration Deadlines
Registration Fee
(Pre-Registration and On-site)
Website Address
(if program can be found on web) 
Correspondence to
Name
Institution
Street Address
City
State
Zip Code
Other Address Info
Phone Number
Fax
E-mail
Date Posted