Program Approval Request

Use this form to request contact hour approval for library or system-wide trainings. When possible, requests should be made at least 4 weeks prior to the program, training, or presentation. Have questions? Email odl.education@libraries.ok.gov

Library/Organization Offering Program

Program Contact Person

Phone Number

Program Title

Location

City and Facility

Is this a multi-day training?

Charge per Participant:

How many total hours of instruction?

Calculate the total time that participants will spend in instruction. Do not include breaks or non-instructional lunches.

Learning Objectives

At the end of the program, participants will be able to:

Instructional Staff

Names and rationale for choice

Subject(s)

Use this field to list the subjects and instructional methods. If you have an agenda, you can attach it below. Otherwise, use this field to input the agenda with specific times, topics, and methods.

File Upload

Drop your files here

By checking the box below I hereby certify that the above information is true and correct to the best of my knowledge.

I understand that any false statements may result in denial or revocation of the certificate.

Certify

Signature Date

mm/dd/yyyy

Send me a copy of my responses

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