CPE Accreditation Application Form 2010
CONTINUING PROFESSIONAL EDUCATION
CHECKLIST OF REQUIREMENTS
Duly accomplished application for Accreditation form (CPE Form No. 05-2008).
Outline (Topic/s of Seminar) with number of hours.
Resume of Speakers / Moderators/ Facilitators.
Program of Activities (Should include the following: Time, Topic/s, Name of Resource Speaker/s, Facilitator/s, Reactor/s ).
Additional documents for 1st Application:
List of Officers with Name, PRC #, Expiration Date of PRC Card & Position.
Schedule of Scientific Seminar for the whole year.
a. Application should be filed forty-five (45) days prior to the conduct of program, activity, or source.
b. You must use the Attendance Sheet Form provided by the PRC.
c. Submit all documents in legal size.
d. Application should be filed in three (3) copies. (1 original and 2 photocopies)
FOR COMPLETION REPORT OF CPE PROGRAM, ACTIVITY OR SOURCE
Duly accomplished Completion Report Form (CPE Form No. 07-2008)
Log In/Out Form
Evaluation Form (One (1) sample only).
List of Lecturers / Moderators / Facilitators/ Reactors with PRC license number.
a. Completion Reports should be submitted within fifteen (15) days after the conduct of Training / Program.
LATE AND INCOMPLETE APPLICATIONS
WILL NOT BE ACCEPTED.
PDA CPE Email address: pdacpd[at]gmail.com / pdacpd[at]yahoo.com
Click to view and download:
Checklist of Requirements
CPE Forms all
Flowchart of CPE
List of Lecturer
List of Moderator
Log In / Log Out
Sample Summary of EV & Proposed Budget
Matrix of CPE Activities
Self Accreditation Form