Fried Tech Credit Application

I understand that if I completed the course longer than 6 months ago, my application will be automatically voided*
- Yes
All credit application received after six months of completing the date will automatically be voided
I understand that if payment isn't received within 3 weeks of applying for CEUs that my application will be voided*
- Yes
I understand that if my credit application is not completed correct the application will be voided?*
- Yes
Certificate of completion must match the course selected. If payment received, a $15.00 refund will be sent.

Did the course you are applying for Credits start in.....*
January-June 2022 (FriedTech)*
July 2022-June, 2023 (FriedTech)*
Upload the Certificate of Completion certificate.*
Accepted file types: pdf, jpg, png, jpeg, Max. file size: 500 MB.
Completion Date*
MM slash DD slash YYYY
Instructor*
Personal Information
Name*
First Last
Email*
Cell Phone*
Address*
Street Address City State ZIP Code
Birthday (Include Year)*
Educator ID*
District/ Organization*
Payment Information
Which credit are you applying for?*
- CEUs
- SEMIs
- OSLs
I understand that the payment not received within 3 weeks of submitting the application, my application will be automatically voided*
- Yes
Payment Method*
- $16.50 - Credit/Debit Card
- $15.00 - Check/Money Order
NMEC Professional Development (PC)
Price:
Total Due
$0.00

Please complete the below evaluation about your online course experience.