Approved Provider Application

LA CES™ Approved Provider Application

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Step 1 of 5: Provider Information

An organization completing this application should already be offering continuing education programs that meet the LA CES criteria or planning to do so shortly.

Name of organization:Website:

Street address:

City:State/Prov:Zip:

Country:

Phone:Fax:

Primary contact:

Name:Position:

Phone:Fax:

Email:Email Confirm:

Password:Password Confirm:

Explain the nature and mission of your organization:

Check below the statement that describes your organization:

Legally constituted organization - Product provider/ manufacturer

Legally constituted organization - Service group

Legally constituted organization - Landscape architecture firm

Regionally or nationally accredited school, college, or university - list accrediting agency below:

Professional association or other not-for-profit or nonprofit organization

Federal State Local government agency

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