CE Approved Course Registration 2026

Use this form to apply for Joint Program Provider through CE Approved's AGD PACE Provider status.

Please note there are character limits on some fields, the administration reserves the right to edit if it is too long. Please input all answers exactly how you will list them on marketing materials.

Full Name *

Phone *

Email *

Company

Website

Address *

Street Address

City

State

Country

Postal Code

Program/Course Title *

Is this part of a conference? *

Location of Event *

Course Description *

Course Objectives *

Course Date(s) *

Speaker's Name and Credentials *

Type of Course *

Live at a particular location (only)

Live via technology (only)

Recorded (only) - Quiz Required

Both live and then recorded - Quiz Required

common.other_option

Educational Method *

Lecture - Presentation

Participation - Hands on

Self Instruction - recorded program or written program on demand

Other

Total Contact Hours *

How long is the course. This will determine the amount of CE please do not include lunch if applicable. If hands-on please determine how much of the course is hands-on... for example 8 hours/5 lecture, 3 hands-on/participation. Self instructed you can estimate how long it will take the attendee to complete your program if more than just watching a video is included, such as workbooks or homework.

Approximate Number of Attendees *

Presenter Bio *

How did you hear about us?

Would you like to receive our monthly newsletter? *

Yes

No

I already receive it

Other

Any other information you feel might be needed please write here.

Commercial Support

If you are getting support from an outside company, please list the details. This can be providing the speaker or an honorarium, paying for the venue, giving you products for the event (swag, implant parts, books) or outright giving you money. CE Approved does not need to know the amount of the support, we do need to know the type. Please note that if you are looking for commercial support and have not gotten it yet that must be noted as well. All commercial support must be disclosed.

Please provide details to your commercial support if applicable. Please put No Support if applicable. *

Commercial Support

Commercial Support Agreement

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF If you have a Commercial Support Agreement, please upload it here. This may be needed if you do not have it.

Additional info needed

You can upload files here, if not please email [email protected]

1. a copy of the Speaker's CV or speaker's packet

2. Sample of all course publicity

3. Event Agenda if multiple courses and speakers

4. Logo to use on the CE certificate

5. Quiz if course is on demand

Speaker's CV or Detailed Bio

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Sample of Course Publicity

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF CE Approved can share guidelines or help if needed. If you don't have the final copy, please share a draft or what you do have

Event Agenda and Multiple Speaker Bio

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Company Logo for the CE certificate

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Quiz - ONLY REQUIRED FOR RECORDED/ SELF-DIRECTED COURSES

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Please be sure to mark the correct answers. Approximate 4-5 questions per hour are needed.