CE Credit Co-Sponsorship for Certified MSC Teachers Pre-Course Application

Teacher's Name
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Please upload Teacher's CV in a PDF format. (It's required for each application.)
Co-Teacher's Name
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Please upload Co-Teacher's CV in a PDF format. (It's required for each application.)
Please select which type of MSC course you are planning to offer.
Venue Address

If you're applying for the LOMSC courses, please enter all course dates below.

Example:

Course 1
Jan. 3 - Mar. 7, 2020

Course 2
Feb. 1-Feb. 9, 2020

Course 3
May 6 1- May 9, 2020

Course 4

Course 5

Re-order Course 1 Course 2 Course 3 Course 4 Course 5 Weight Operations
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Psychologists: Continuing Education Credit for this program is provided by UC San Diego Center for Mindfulness. The UC San Diego Center for Mindfulness is approved by the American Psychological Association to sponsor continuing education for psychologists. The UC San Diego Center for Mindfulness maintains responsibility for this program and its content. This course offers 24.0 hours of credit.

California licensed MFTs, LPCCs, LEPs, LCSWs: Continuing Education Credit for this program is provided by UC San Diego Center for Mindfulness. The UC San Diego Center for Mindfulness is approved by the American Psychological Association to sponsor continuing education for psychologists. 24.0 contact hours may be applied to your license renewal through the California Board of Behavioral Sciences. For those licensed outside California, please check with your local licensing board to determine if APA accreditation meets their requirements.

Nurses: UC San Diego Center for Mindfulness is approved by the California Board of Registered Nursing, Provider Number CEP16351, for 28.75 contact hours.

Promotional materials for course described above. Promotional materials are a flyer, a brochure, or a webpage which include the course description, objectives, dates, location and teacher(s)' bio(s). (If you have a website, please save the page in a PDF format and upload the file.)*

 

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Please upload a copy of blank Course Evaluations that you have prepared to send to participants upon completion of the course.

The link to the sample form was included in your confirmation email.