Personal Information

Name*

First Last

Email*

Cell Phone*

Address*

Street Address City State ZIP Code

District/ Organization*

Which credit are you applying for?*

Upload the Certificate of Completion certificate.*

Accepted file types: pdf, jpg, png, jpeg, Max. file size: 500 MB.

Educator ID*

Payment Information

Payment Method*

I understand that if payment isn't received within 3 weeks of applying for CEUs that my application will be voided*

University of Mississippi Credit Application

Price:

I understand that if my credit application is not completed correct the application will be voided?*

Certificate of completion must match the course selected. If payment received, a $15.00 refund will be sent.

I understand that if I completed the course longer than 1 month ago, my application will be automatically voided*

All credit application received after one months of completing the date will automatically be voided

The online course(s) met contect expectations.*

The trainer of the online course(s) demonstrated expert knowledge of the contact presented.*

The online course(s) presented up-to-date content.*

The interaction between you and the trainer(s) was appropriate and comfortable for the purpose of the course.*

Total Due

$0.00