Self Report for APAC-BE CE Credit

APAC-BE Certificants requesting approval of a non-pre-approved course or qualifying credit should supply the course name, official length, topic, description, learning objectives, provider, and course number.

Please see the APAC-BE Renewal and CE Requirements page for details on what counts as qualifying credits.

NOTE: Certificants do not need to fill out this form for courses offered by APA, as those courses are pre-approved.

Fields marked with an * are required.

Certificant information

Email *

First Name *

Last Name *

APAC-BE Certificant number *

Found on your certificate

Credit information
You may include qualifying credits for APAC-BE credit provided they have been completed less than three (3) years prior to your certification expiration date.

Date you acquired credit (attended or presented course, mentored, etc.) *

Course title *

Course presenter (name of individual) *

Course provider (name of organization) *

Webpage that includes description of course (optional)

Description of course or qualifying activity *

Official length of course or qualifying credit, in hours + quarter hours (e.g., 2.25) *

Upload proof of completion *

20MB max

Self Report for APAC-BE CE Credit

Please verify that you have checked the “I'm not a robot” checkbox.

Connecting Professionals, Building Accessibility