EBAA

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Individual CEU Request Form

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If you are a Certified Eye Bank Technician and would like to submit a non-EBAA event for approval for Continuing Education Units to be used toward recertification, please complete the form below. A representative from the EBAA office will contact you once the request has been reviewed.

"*" indicates required fields

Contact Information

Name*
Business Address

Event Details

Name of the organization who hosted the event

Event Information

Please provide a brief description of the event.
Describe the goals or purpose of the course.
How is this session related to eye banking? (Include any relevance to EBAA Medical Standards)
Why is this session of importance to a Certified Eye Bank Technician?

Supporting Materials

Please use the spaces below to upload the event agenda, participation certificate, and any additional materials about the event.
Please upload the agenda here.
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 25 MB.
    Please upload any additional event materials (Incl. slides, presenter bios, and event summary)
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 25 MB.
      Upload Participation Certificate or Proof of Attendance here.
      Drop files here or
      Accepted file types: jpg, gif, png, pdf, doc, docx, xlsx, xls, Max. file size: 25 MB.

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