Application for Continuing Education Approval

Upcoming Events

*THIS IS NOT AN ANBMT SPONSORED EVENT*
Cupping for Manual Therapists
August 11–12, 2018
Atlantic College of Therapeutic Massage
Fredericton, NB

Somato-emotional Processing (SE1) or CST Level 3
"Listening to the Body"
September 7–9, 2018
Atlantic College of Therapeutic Massage–F'ton Campus
Fredericton, NB

Application for Continuing Education Approval

I am seeking approval for

Self-directed learning

Peer group meetings

Mentorship

Curriculum development at a Massage Therapy school in NB

Volunteering for an event

Workshops or seminars presented at conferences, meetings and AGM’s

Courses

Self-directed learning - required information for the processing of a request (maximum of 5 ceu’s per cycle)

Name of book & # of pages:

Name of video & length:

Name of article & number of pages:

Peer group meetings - required information for the processing of a request (maximum of 10 ceu’s per cycle)

Peer group members:

Frequency of meetings:

Duration of meetings:

Scope of Practice / Topic of discussions:

Expected outcomes:

Mentorship - required information for the processing of a request

Mentor’s name:

New graduate’s name:

Date of graduation:

Scope of practice being mentored:

# of mentoring hours:

Expected outcomes:

Please provide Résumé and credentials of mentor with this application

Curriculum development - required information for the processing of a request

Course instructor:

Name of Massage Therapy School:

Course name:

Scope of Practice covered:

Hours spent developing the course:

Instructors first time teaching this specific course

Yes

If not do the revisions equal at least 50% of new material

Yes

Volunteering for an event - required information for the processing of a request (maximum of 10 ceu’s per cycle)

Name of event:

Date of the event:

# of hours:

Event contact person:

Workshops or seminars presented at conferences, meetings and AGM’s – required information for the processing of a request

Name of Workshop, seminar:

Name of event:

Date of event:

Presenter(s) at event:

Number of workshop, seminar hours:

Please provide a brief workshop/seminar outline, Résumé and credentials of presenter(s) with this application

If the presenter(s) resides outside the province of New Brunswick please provide the following information

Name of Regulating Body and/or Association:

Website:

Post-Secondary Institution:

Website:

Year of graduation:

Course - required information for the processing of a request

Name of Instructor(s):

Course Title:

Principle Modality / Subject Matter to be taught:

Anticipated Course Date:

Max number of students:

If the course instructor(s) reside outside the province of New Brunswick please provide the following information

Name of Regulating Body and/or Association:

Website:

Post-Secondary Institution:

Website:

Year of graduation:

Course - required information for the processing of a request

Number of Hours of Direct Instruction

(ex: 9:00-5:00 minus 30 minutes for lunch and two 15 minute breaks is a seven hour workshop- eligible for 3.5 CEUs 2 hours of direct instruction = 1 CEU. Breaks and lunch do not count as direct instruction.)

Instructor(s) must provide the following information to CMTNB:

Résumé and credentials of instructor(s)
A brief course outline, detailing course content and learning objectives including relevance to the Category A or B modalities.
Any other relevant information.

A request for approval must be submitted at least two months prior to the activity date.

Course certificates should include the following information: Course name, participant name, course date(s), number of direct instruction hours, and instructor(s) name/signature.

Proud Member of the CMTA

cmta