Oklahoma Certified Crop Advisor CEU Request Form
CONTACT INFORMATION:
Name:
Organization:
Address:
City:
State:
Zip:
Tel:
Fax:
E-mail:
MEETING INFORMATION:
Meeting Title:
Cost(If Any):
Time & Date:
Meeting Site:
City:
State:
Zip:
County:
Tel:
Fax:
DESCRIPTION OF THE EDUCATION EVENT FOR WHICH CEU CREDITS IS BEING REQUESTED INCLUDING SPEAKER'S NAME AND BACKGROUND:
REQUESTED CONTINUING EDUCATION UNITS (CEU):
One hour of education = one CEU. Please do not include break periods. Round hours for each category to the nearest 0.1 hour and total.
CEU REQUESTED
Nutrient Management:
Soil & Water Management:
Integrated Pest Management:
Crop Management:
Professional Development:
Total:
CEU APPROVED
Nutrient Management:
Soil & Water Management:
Integrated Pest Management:
Crop Management:
Professional Development:
Total:
Approved Course Code:
Your request will be emailed to you shortly. Please contact Dr. Hailin Zhang for more information
405-744-9566
hailin.zhang@okstate.edu