CEU Provider Form - California Association of Ayurvedic Medicine

Application to become a CEU Provider

Application Steps

Please read, sign, and upload the CEU Provider Applicant Acknowledgement to the form below.

Please complete the form below and upload your Resume/CV. Click Submit at the bottom of the page.

Pay the $50 annual fee. After successfully submitting your application, you will see a page with your submission number.

Allow a minimum of 30 days for your application to be reviewed. We will contact you to discuss the next steps for submitting listings to be reviewed and approved.

IMPORTANT:

The CEU for Ayurvedic Health Counselor (AHC) must include content that is more advanced than the educational content required for the Ayurvedic Health Counselor level of CAAM Professional Membership.

The CEU for Ayurvedic Practitioner (AP) must include content that is more advanced than the educational content required for the AP level of CAAM Professional Membership.

CEU Providers must provide proof of completion to their student(s), such as a Certificate/Letter of Completion/Attendance.

Name *

First

Last

Email *

Phone: with area code

Level of Membership *

Professional Member (AHC)
Professional Member (AP)
Organizational Member
Non-member

Description of proposed CEU course and Number of hours? Please mention format of course delivery (Pre-recorded lecture or online synchronized learning or in-person) *

Max 250 characters

Program Category *

Your Resume or CV (To be submitted by individual providers only)

Click or drag a file to this area to upload.

Disclaimers

CAAM does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.

I shall act in a manner in compliance with all CAAM policies and requirements, and all applicable federal, state and local laws, and shall be careful to avoid any act or conduct which might injure, directly or indirectly, in any manner, the reputation of CAAM or any other person or entity associated with CAAM;

Approval of this application is within CAAM’s sole and absolute discretion;

All statements, answers, and representations made in this application and/or in any supplementary materials are true, accurate, and complete.

Date *

Signature *