CE Program Approval Application - New Mexico Psychological Association

External CE Program Approval Application

The New Mexico Psychological Association (NMPA) is authorized by the State of New Mexico Board of Psychologist Examiners to review and approve Category I Continuing Education Programs for psychologists.

NMPA approval indicates that the program offered meets the criteria of a Category I Continuing Education activity as defined by State of New Mexico statutes and regulations.

NMPA review and payment of the required fee does not guarantee program approval.

Payment must be received prior to NMPA review.

Applications must be submitted at least 60 days prior to the event.

Continuing Education Approval Application Fee:

NMPA Members $150: Pay here

Non-Members $250: Pay here

Submit application below:

Name of Applicant *Name of organization or individual submitting this request for CE program approval
Address *Address of organization or person submitting request
Contact Person *Contact person for this application		Email *email address for contact person
Phone *area code and phone of contact person
Ethical guideline compliance contact *Person responsible for ensuring compliance with professional ethical guidelines		Attendance documentation *Who will ensure psychologist attendance is documented?
Program Title *Title of program or workshop for which CE credits are being sought
Program Date *Date of workshop
Location *Location of event, if virtual, please note
Total presentation hours *How long is the total presentation?		Total CE hours requested *How many CE credits are being requested?
Will you offer Cultural Diversity, Equity and Inclusion, or Ethics credits?Please indicate if the requested CE hours include a request for CE credit in Cultural Diversity, Equity and Inclusion, or Ethics		How many?If requesting CE credits in Cultural Diversity, Equity and Inclusion, or Ethics, please indicate how many hours are requested
Presenter(s) name and degree *Name and degree of presenter(s)
Presenter(s) CVUpload CV of each presenter
Program Description *Provide a complete description of the workshop or upload it at the bottom of the page
References *Provide at least three (3) peer-reviewed references supporting the program content
Educational Objectives *Provide objectives that identify in measurable terms what participants are expected to learn and how participants are expected to apply this knowledge in practice or other professional contexts.
Attachments *Upload sign-in sheet, program evaluation, brochure or other supporting documents

	Edit This Favorite
Name:
Category:
Share:	Yes No, Keep Private

Edit This Favorite