Please fill out this form completely if you would like OCALI to submit your CEU information to ASHA. CEU information is submitted to ASHA on a monthly basis except for the Promoting Access modules, which are submitted on a quarterly basis.

Please fill out this form AFTER you have completed the module(s) and/or webinar(s) for which you would like to receive ASHA CEUS. 

Important: Please download your certificate of completion for all modules/webinars to retain for your records. Have them available to use as a reference when completing this form.

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* 1. Email address that you used to register for this module/webinar.

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* 2. ASHA ID

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* 3. First Name

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* 4. Last Name

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* 5. Address

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* 6. City

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* 7. State

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* 8. Zip/postal code?

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* 9. County

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* 10. Country

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* 11. Ohio School District (if applicable)

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* 12. What is your primary professional position?

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* 13. Please list the title or titles of the modules/webinars for which you are seeking ASHA CEUs.

List the complete titles, and refer to the following page to see the list of modules approved for credit: https://deafandblindoutreach.org/continuing-education

You will only be eligible to receive ASHA credit from the modules listed on the page above.

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