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CEU Registration

NDSU Distance and Continuing Education

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Fields with asterisk are required.

First Name *

Last Name *

CEU Registrant's Name *

Activity Name/Title *

Activity Date: (xx-xx-20xx) - (xx-xx-20xx) *

Activity Location (city, state) *

CEU Options

ND Social Work License Number

Number of CEUs Claiming

Phone number (xxx-xxx-xxxx) *

Email Address *

Gender *

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