Add STABLE Short Course

1Lead Instructor Information

2Class Details

3Agree to Terms and Submit

Course Schedule and Information
Enter the following information carefully and accurately as it will be used to generate your course coupon.
Date of Class*
MM slash DD slash YYYY
*
Facility or Organization Name Street Adress City State / Province / Region ZIP / Postal Code Country
How many OTHER instructors will be co-teaching this course with you?
Only courses taught by approved instructors are eligible to grant continuing education credit.
Support Instructor 1:
First Last
Support Instructor 2:
First Last
Support Instructor 3:
First Last
Support Instructor 4:
First Last
Support Instructor 5:
First Last
As the Lead instructor submitting this form, I will ensure that all Support or Lead instructors assisting with the course listed above have completed an online application and have been approved to be a CNE S.T.A.B.L.E. instructor at least 7 days prior to the course date.*

Course Schedule and Information