CEU Form

CEU Request Form for the School Crisis Prevention and Intervention Webinar.

The Florida Alcohol and Drug Abuse Association (FADAA) offers 1.5 CEUs for participation in this webinar. FADAA is a board approved provider for the following: Florida Certification Board Provider A-001; Florida Board of Nursing Provider CE #50-676. Florida Board of Clinical Social Work, Marriage & Family Therapy and Mental Health Counseling Provider CE #50-676.
Note: If you are licensed in a state other than Florida, you will need to ensure that the hours will be accepted by your respective board(s).

Please complete the form below and click the submit button.

First Name:	*
Last Name:	*
Agency:	*
License #:	*
Address:
City:
State:
Zip Code:
Email:	*
	Please enter an email address that reaches you directly.
Phone: