Central Institute
for Educational Advancement
P.O. Box 750491 Dayton, Ohio 45475-0491
(937) 572-8636 www.cifea.org
Continuing Education Seminar Agreement
Name of Sponsor ___________________________________________
Address of Sponsor
_________________________________________
Exact Location of Seminar _____________________________________
Date of Seminar _____________ Official Starting Time ____ qAM qPM
Seminar(s) to be presented
by Joel L. Getts, Th.M.,Ph.D.
q Grief & Loss – Better Care in the
21st Century (3 hours) $ 195.oo
q Death – Out of Order (3 hours) $ 195.oo
q Christian Denominationalism and Grief (3
hours) $ 195.oo
q
Unique Tools for Those in Grief (3 hours) $
195.oo
q
Developing Healthy Attitudes in the Arrangements Room (2 hours) $ 150.oo
q
Talking to Children & Teens About Death & Dying (2 hours) $ 150.oo
q
Stress Reduction for Funeral Directors (3 hours) $ 195.oo
q
What in the World am I Doing / Career Evaluation (3 hours) $ 195.oo
q
Growing to Become a More Affective Aftercare Provider (3 hours) 195.oo
q
The History of the Funeral Flower Car (1 hour) $ 90.oo (not a “stand alone” seminar)
q
Healthy Relationships in the Workplace (4
hours) $ 235.oo
q
Professional Ethics – A Filter for Priorities and Goals (3 hours) $ 195.oo
q
Comparing Religious Practices and Grief in North America (3 hours) $ 195.oo
q The History of the North American Funeral Home (3 hours) $
195.oo
Our seminars have
been approved for funeral directors & embalmers, licensed counselors, licensed social workers. Be sure to to ask for which
ones have specific approval when booking your seminar.
TOTAL PRICE INCLUDING MILEAGE CHARGES $_____________________
(PLEASE PAY THIS ACCOUNT IN FULL ON THE DAY OF
THE SEMINAR )
PLEASE NOTE : Compact seminars of the above titles are available for shorter
presentations (50 minutes-2 hours in lengths.) Attendees will only receive continuing
education credit for the length of the actual seminar. Presentation prices are the same, irregardless of desired length. Additional charges such as lodging and mileage will apply if traveling distance is
over fifty 50 miles from the borders of Montgomery County, Ohio. Mileage charges are $.60 per / mile over 50 miles each way. Lodging is only applicable
on distances over 100 miles from Montgomery County, Ohio
and is billed at a rate of $100.oo per night. In some cases the lodging fee will be waived if adequate lodging & dining
is provided by the sponsoring company/organization. Special package prices on multiple seminars may be negotiated. Prices
are effective 7/1/07 and are subject to change without notice.
Sponsoring
company/organization agrees to the following terms;
a). Any licensed professionals may attend seminars.
The sponsoring company/organization may charge any and all attendees for seminars at their discretion. CIEA is not responsible
for selling and/or collecting admission fees to any seminars contracted by a sponsoring company or organization.
b). The sponsoring company/organization permits
CIEA to record (audio and/or video) the seminars and use such recordings for publication and reproduction in future materials
produced by CIEA without any compensation or royalty to the benefit of the sponsoring company, their staff, management, ownership
or attendees at the seminars. The sponsoring company/ organization will not be permitted to record (audio and/or video) any
portion of the seminar(s) without first obtaining written permission of CIEA.
c). The sponsoring company/organization agrees
to provide adequate and comfortable facilities and seating in one room suitable for the number of attendees, with easy access
to restrooms and lounges.
d). The sponsoring company/organization will
provide adequate space including a table (minimum size 24”x48”) for CIEA to offer for sale various products offered
by the CIEA during the entire time of the seminar including 30 minutes prior to the start of the seminar(s) and 30 minutes
after the seminar(s) concludes
We suggest that the sponsoring company provide
beverages such as coffee, punch, or pop and possibly a light snack or refreshment during the hourly breaks of each seminar.
If available, the seminars may be enhanced with the use of “ MS Powerpoint”and
overhead projection equipment. Please advise CIEA if you desire the presenter to use
such technology.
I/We agree to the terms of this agreement and
hereby submit payment in full for the seminars requested with this application on or before the day of presentation.
_________________ ____________ _____________
Signature of Representative
Print Name
Date
Please
return this form to the Central Institute for Educational Advancement a minimum of 30 days prior to the date you are requesting
to host the seminar(s). CIEA will confirm the schedule within 72 hours of receipt.