REQUEST FOR CLASS MATERIAL for a
PREVIOUSLY APPROVED C.E. COURSE
Please complete the following information when preparing to offer a previously approved continuing
education course. Classes may be offered numerous times within the four-year approval period of the
course. A new application must be submitted if the content or course hours change, or if the four-year
period has expired.
Requested by:
Date:
Phone:
Unit:
Mailing Address: (where the course material is to be sent)
Course Number: (from approved Course Application)
Course Title: (as it appears on the Course Application)
Date(s) of Course:
Number of expected attendees:
Instructor(s) If changed from original application:.
Submit your request electronically at least two weeks prior to the date of the class to:
cppn@ucdmc.ucdavis.edu