AIA/CES Speaker Agreement

Date: May 23, 2012

 

For all AIA/CES registered courses AIA/CES Speaker Agreement (PDF)

AIA/CES Program Completion (Provider Form B)

Registered Providers are responsible for reporting to the AIA/CES the names of ALL AIA members.
Use this form to report the names of AIA members who have earned credit.

* Required fields

Provider

*Date of Program Completion:
  Month Day Year

Participants

*AIA Member
Yes or No		 AIA Membership Number *Name of Participant
(Full name required)		 *Certificate Request
Yes or No		  
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No
Yes No Yes No

Carbon Copy (CC)