ACE provider appendix

APPLICATIONS

ACE provider application procedures

ACE prequalification request form
ACE provider application
Add format application
ACE provider course sample questionnaire
ACE provider distance learning questionnaire
Renewal application
Renewal application course list template
Fee worksheet & payment form

INFORMATIONAL

Developing ethics courses for social workers
Information about the cosponsorship policy change effective June 1, 2019
Acceptable learning objectives list
Pilot test instructions

CHECKLISTS

New application checklist
Course material requirements checklist
Renewal application checklist

SAMPLES

Attendance
Sample in-person workshop attendance record
Sample conference session attendance record
Sample nonconcurrent, full attendance conference attendance record
Sample attendance attestation for conference sessions

Certificates of credit
Sample conference certificate – sessions listed
Sample conference certificate – single session
Sample live webinar certificate
Sample in-person workshop certificate
Sample reading-based online certificate

Evaluation
Sample course evaluation – in person and distance
Sample overall conference evaluation
Sample conference session evaluation

Promotion
Print
Sample concurrent conference brochure
Sample nonconcurrent conference brochure
Sample in-person workshop flyer
Sample in-person workshop flyer with linked details

Online
Sample live webinar promotional material
Sample reading-based online promotional material

AGREEMENTS

New applicant provider agreement
Renewing provider agreement
Cosponsorship agreement

CHANGE FORMS

Personnel change form and instructions
Organization contact information change form
Organization name change form and instructions
Closing or selling the business form and instructions