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Online Learning Program Proposal Form

Basic Information

Thank you for your interest in hosting an online learning program with NIRSA. 
 
As one of the founding partners of the Higher Education Consortium of Student Affairs Educators certification program, we aim to provide continuing education (CE) credits through a variety of educational programs. Please complete this form fully so that we may review your submissions eligibility to qualify for credits. Read about CE Credits on NIRSA's webpage.

Email events@nirsa.org or your NIRSA staff liaison if you have any questions as you work through these questions.  
1.Tell us your name(Required.)
2.Tell us your email(Required.)
3.What institution/organization are you affiliated with?(Required.)
4.Do you have any additional facilitators/co-presenters who you plan to host this event with?(Required.)
5.Do you belong to any committee or task force groups? If yes, which one?(Required.)
6.What best describes your NIRSA membership category?

**If you work with a company, reach out to our corporate relations team about opportunities**(Required.)
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