To submit the electronic forms below, open the form, complete, save to your computer and then email as an attachment to


Two-Year Provisional Application

Five-Year Application


Course Description Form CMTE

Use the 2010 CBMT Scope of Practice to complete this form. If there are multiple presenters, please include a learning objective for each on the same form.

Participant Reporting Form

Course Evaluation Form

Please be sure to use the same learning objectives that are on the Course Description Form. You may utilize the third page as many time as necessary for Multiple Presenters.

Course Evaluation Summary Form

This form helps the presenter, the AP, and CBMT evaluate the quality of each course.

Please note that CBMT requires participants to include their certification number.


Course Certificate Template

APs are encouraged to personalize certificates with their own logos, while maintaining required content.
The two statements at the bottom of the template are of particular importance.

Promotional Materials Checklist

This form is for your reference. Being certain your materials are compliant will increase your marketing success with certificants.

Quick Reference Section

Which forms must be submitted prior to a course being offered?

Which forms must be submitted after a course is completed?

What information needs to be saved for an audit?

Print this page for a brief summary and checklist of the necessary steps in offering a CMTE course.

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QUESTIONS? Contact Hindi Burkett at or call 1.800.765.2268, x23

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