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Indiana Professional Licensing Agency

PLA > Professions > Indiana State Psychology Board > Continuing Education Requirements & Sponsorship Information > Applying for Approval to Provide Category I Continuing Education Applying for Approval to Provide Category I Continuing Education

ORGANIZATIONS AND INDIVIDUALS
GENERAL INFORMATION AND INSTRUCTIONS

Please mail to Room W072, not 041.
Individuals or organizations applying for approval must submit a written request for approval at least thirty (30) days prior to the date of the individual's or organization's presentation of a program for continuing education credit. Programs presented:

  1. prior to the receipt of approval; or
  2. after the withdrawal or termination of approval of the individual or organization; by the board shall not count toward continuing education requirements.

The written request for approval shall include the following:

  1. The name of the sponsoring individual or organization.
  2. The address and telephone number of the individual or organization.
  3. The following for organizations:
    1. A copy of all documents relating to the formation and continued existence of the organization.
    2. A description of the specific purposes for which the organization was formed.
    3. For each individual in the organization with direct responsibility for teaching and conducting an educational program of the organization, a vita or resume listing all educational and relevant work experience.
  4. For individuals, a vita or resume listing all educational and relevant work experience.
  5. A list of each educational program presented or sponsored by the individual or organization for five (5) years prior to the date of the request for approval.
  6. The following for each program listed under subdivision (5) given in the prior two (2) years:
    1. The date and location of the program.
    2. A brief summary of the content of the program.
    3. The name and the academic and professional background of the lecturer.
    4. The number of clock hours of continuing education credit granted by a state licensing or similar regulatory authority for the program.
  7. A description of the course evaluation technique utilized for all educational programs.
  8. A sample of the certificate awarded for the completion of all educational programs, if available.
  9. A list of all anticipated programs to be presented or sponsored during the requested approval period, if available.
  10. A description of the types of programs or activities the individual or organization intends to present.
  11. A description of the method to be used for monitoring attendance.
    1. The individual or organization is responsible for monitoring attendance in such a way that verification of attendance throughout the program can be reliably assured.
    2. Approval of the individual or organization will be valid for a maximum period of two (2) years. The individual or organization is responsible for applying to the board for renewal of approval.

Approved organizations and individuals must provide each attendee with verification of attendance which shall include the following:

  1. A record of the number of hours spent in the continuing education course.
  2. The name of the course or a description of the subject matter presented.
  3. The name of the sponsoring approved organization, individual, or study club.
  4. The date and location of the program.

Application for Approval to Provide Category I Continuing Education

If you are requesting credit for taking a course presented by a sponsor that has not been approved, submit the application found here: Application for Approval of Continuing Education Course.

Include proof of attendance and a course syllabus for each hour of coursework that you attended

If you need additional information, please feel free to contact this office at mailto:pla6@pla.IN.govor 317-234-2051.