AIPG Processing                                                                           CIRCLE IF TIME CRITICAL
Pre-program Review of activity: Post program:
Date received                           roster of participants and fee
Reviewed by                                  summary of evaluations
Further info needed

date certificates sent to contact
Final OK on status permanent record of CEUs
Adm. fee paid  

Approved to proceed: CEU Director or designate                                                                                                                    date                                                                      

Completion of all responsibilities date                                                                      reviewed by