Please use the forms below to submit requests to the Center for Professional Practice of Nursing.
Class registration requests
Continuing education planning forms
Please use these forms to plan a continuing education course or request material. Continuing education course planning forms will only be approved when the biographical data and conflict of interest forms for all planning committee members and presenters are submitted with the course planning form. If you need assistance in completing the form, or wish to consult with an educator concerning your course, please contact Tish Campbell at firstname.lastname@example.org.
To request approval for a continuing education course:
- Download the Continuing Education Course Planning Form (Word)
- Download the Biographical and Conflict of Interest Form (Word)
- Send the completed course planning form and biographical data and conflict of interest forms for all planning committee members and presenters as an e-mail attachment to email@example.com. We will not accept handwritten or faxed applications.
Gap analysis tool for determining continuing education
Gap analysis is a useful tool in taking you from I think I know what the problem is, you have an idea what a potential solution is and what you want the outcome to be. This worksheet is a tool that helps to determine your current state, and desired state as well as the tasks that are needed to close the identified gap, used at the beginning of planning, Gap Analysis will assist you in your educational activity planning. This form is part of the Continuing Education Planning Form.
Request for additional class dates for previously awarded continuing education course
Please use the form below to request class material for previously approved courses.
Course request form (non-continuing education)
Please use this form to request an activity code and roster for non-C.E. activities which will be used to enter records into UC Learning Center training transcripts.