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 Select One* Registered Nurse (RN) Nurse Practitioner (NP) Nurse Anesthetist (NA) Nurse Midwife (NM) Clinical Nurse Specialist (CNS) Emergency Medical Services (EMS) Respiratory Care Practitioner (RCP) Select One* Registered Nurse (RN) Nurse Practitioner (NP) Nurse Anesthetist (NA) Nurse Midwife (NM) Clinical Nurse Specialist (CNS) Emergency Medical Services (EMS) 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 Add to cart Need Help? Contact Us Leave Feedback Contact Us Leave Feedback SKU: CEU Category: ceu