CE Complaint Form

continuing education complaint form

* Indicates required field

Name *

First

Last

Address *

Address Line 2 *

City *

State *

Zip Code *

Phone Number *

Email *

Name of Continuing Education Course *

Date of Course *

Was the course offering online or as a podcast? *

Yes No

Have you contacted the APA's Office of Continuing Education Sponsor Approval (CESA) regarding your complaint? *

Yes No

Detailed description of the complaint or concern regarding the educational offering *

By checking this box, I affirm that the statements/information within this complaint are correct and truthful to the best of my knowledge. *

Yes

Submit