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Pre Approved Provider Information Application
Thank you for your purchase. Please fill out all sections and upload the required files which will be sent to our team. Please review information for accuracy prior to submission.
Business Name
Business Address
Business Website
What is the title of your course or training?
How long is your training? Please list in minutes, hours, or days. If more than one day, please list the minutes and hours each day.
What IAAPA Domain or Sub-Domain does your course or training align to?
What are the learning objectives for the course or training.
List the name of the course or training instructor or faculty. If the instructor of faculty rotate, please list at least one name. You will be required to provide credentials for this instructor or faculty member as an example.
Syllabus
Resume or CV
Certificate of Completion
Student Feedback/Surveys
I agree to Iaapa's
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