nonmemberform March 13, 2019 jeff ACE ApprovalIndividual CourseNon-Member Price General Directions You will receive an invoice by email for the required $30 processing fee for each ACE request. The following items must be submitted with this completed form: A syllabus or course description A copy of your transcript with a "C" or better. The transcript must indicate if credits earned are quarter semester credits or semester credits. Course Syllabus or Description Transcript Contact Information Name Mailing Address Daytime Phone Number Email Address Licensed Modality RadiographyUltrasoundCV/InterventionalMammographyCTRadiation TherapyNuclear MedicineMRIOther Identification of Activity(Separate forms must be submitted for each course) Type of Activity Title of Activity Faculty/Instructor Dates of Activity Length of Activity Location Semester Completed (for college courses) You will receive an invoice by email for the required $30 processing fee for each ACE request.
