SI CEU Petition Online Submission Form

If you are petitioning prior to recertification and the CEU provider is not on our Approved Providers list, please complete the application below to submit your petition. If you have questions about the petition process, please download and review the SI Recertification Guide.

Upon submission, you will be redirected to our secure payment page to complete the process. All major credit cards and PayPal payments are accepted. Payment in full must be received prior to reviewing your application. If payment is not made, your submission will be deleted.

** To submit payment by check or money order, please use the printable Petition Form.**

  • Student Contact Information

  • CEU Course Information

  • MM slash DD slash YYYY
  • Please explain how the course provided above entry-level education.
  • Please select from the following:
  • CEU Provider Information

  • It is advised to include additional reference materials such as: Certificate of Completion, College Transcripts, Instructor/Provider Resume, Course Syllabus, etc. Allowable file extensions: pdf, jpg, png. We will accept no more than 5 files and a total maximum file size of 5MB.
    Drop files here or
    Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 5.
    • Payment is due in full prior to reviewing your petition.

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