THE INTERNATIONAL ASSOCIATION OF ANIMAL BEHAVIOR CONSULTANTS

This application is to be used by sponsors of educational programs, to become Approved to offer continuing education units (CEUs) and other Education Collaborative (EC) credit. Return your completed application to Chris Hamer, Chair, Education Collaborative, education@iaabc.org

1. Course/Seminar Workshop Title
     
2. Course/ Seminar/Workshop Date
   
3.

Course Instructor(s) ____________________________________________________________________

Is the instructor(s) an IAABC member? _____ an IAABC Certified member?____ a CPDT? _____

Does the instructor have other degrees or certifications? (veterinary behaviorist? board certified applied behavior analyst? certified applied animal behaviorist? please list): ____________________________

______________________________________________________________________________________

4. Course Objectives-What are the teaching goals? Give a short course description.
 
 
 
 
 
 
             
5. Instructional Methodology      
  Cassette Tapes Text Book / Readings Compact Discs (CD)
  Videotape DVD (Other)
             
6. Course/Seminar/workshop length
             
7. Did you apply to any other authorizing body for continuing education credits for the same material?
  Yes No    
     
  Where?
  Accepted? Yes No
             
8. Attach a blank copy of the evaluation form and post-test to each application.
             
9. Attach samples of self-study material. i.e. cassette tape, CD’s, etc. (If you would like the material returned send a return envelope with correct postage.)
   
 

Fill in the exact schedule and the total number of instructional hours. Maximum of 15 CEU for any one course/ seminar/workshop. Provide an outline of the course.

Do you want your seminar listed on the IAABC web site? How do you want the web listing to read? Please follow the format as follows:

Date (month, days, year) Name of Instructor

Seminar Name

Location: city/town, state. Contact: name, email, web. CEUs awarded from other professional associations.