CPE092415  

 

 

 

SPECIAL  INFORMATION  FOR  CPAs  Please  fill  out  this  form  only  if  you  are  a  member  of  a  licensing  board  that  has  approved  National  Seminars  Training  (NST)  as  a  provider.  If  you  do  not  know  if  NST  is  approved,  please  contact  your  board.    

National  Seminars  Training  (NST)  is  registered  with  the  National  Association  of  State  Boards  of  Accountancy  (NASBA)  as  a  sponsor  of  continuing  professional  education  on  the  National  Registry  of  CPE  Sponsors.  Most  state  licensing  boards  recognize  NST  courses  for  CPE  credit  since  we  are  a  NASBA-­‐approved  provider;  however,  state  boards  of  accountancy  have  final  authority  on  the  acceptance  of  individual  courses  for  CPE  credit.  Participants  must  verify  with  their  individual  state  licensing  board  that  NST  is  recognized  by  their  board.        Title  of  course  requesting  CPE  credit  for:_____________________________________________________  

Course  date:  ______  /______  /_______  

Course  location:  (City)_______________________________________________________  (ST)_________  

Trainer  name:  __________________________________________________________________________    To  be  completed  by  NST:  

Program  prerequisites:   No  previous  experience  or  education  necessary         Previous  experience  or  education  necessary  

Program  level:     Beginning             Intermediate           Advanced    CPE  credit:  __________________      Instructional  method:  ___________     Last  course  review  date:________________    A  course  certificate  of  completion  will  be  issued  to  all  seminar  participants  at  the  end  of  the  training  day.  The  CPE  certificate  will  be  mailed  to  participants  once  this  request  form  is  completed,  received  by  NST  and  processed.  Please  allow  five  to  seven  business  days  for  receipt  of  the  certificate.    Mailing  address  for  certificate  (Please  print):  

Name:  _______________________________________________________________________________  

Address:  _____________________________________________________________________________  

City:  _____________________________________________    ST:__________    ZIP:  __________________  

Daytime  phone:  _________________________________  

CPA  license  #:  ___________________________________  

Please  mail  requests  to:  National  Seminars  Training   Contact  us:    Attn:  Tom  Allen   1-­‐800-­‐258-­‐7246  6900  Squibb  Road,  Mission,  KS  66202    

Or  email  requests  to:  cstserv@natsem.com  

State  boards  of  accountancy  have  final  authority  on  the  acceptance  of  individual  courses  for  CPE  credit.  Complaints  regarding  registered  sponsors  may  be  submitted  to  the  National  Registry  of  CPE  Sponsors  through  its  Web  site:  www.learningmarket.org.