CEU Request Form A Continuing Education Certificate will be emailed to the student upon the verification of their course completion. The amount of CE units given to a student is dependent upon the course completed. CEU Request Form Student Name* First Last Email Address* Phone*Type of Course* ACLS PALS BLS Select One* Registered Pharmacist Pharmacy Technician Advanced Practice Pharmacist Registered Dental Assistant (RDA) Doctor of Dental Medicine (DMD) Licensed Dentist (DDS) Registered Dental Assistants in Extended Functions (RDAEF) Registered Dental Hygienist (RDH) Select One* Registered Nurse (RN) Nurse Practitioner (NP) Nurse Anesthetist (NA) Nurse Midwife (NM) Clinical Nurse Specialist (CNS) Respiratory Care Practitioner (RCP) Select One* Registered Nurse (RN) Nurse Practitioner (NP) Nurse Anesthetist (NA) Nurse Midwife (NM) Clinical Nurse Specialist (CNS) Respiratory Care Practitioner (RCP) License#*Course Location*Course Date* MM slash DD slash YYYY **BLS CEU's are only available for licenses under the Dental Board Of California and the California State Board of Pharmacy**CEU Request Form Price: Total $0.00 Section Break Add to cart Need Help? Contact Us Leave Feedback Contact Us Leave Feedback SKU: CEU Category: ceu