Form LIC 9139. Renewal Of Continuing Education Course Approval - Administrator Certification Program - California

Form LIC 9139 is used for the renewal of Continuing Education Course Approval in the Administrator Certification Program in California. This form is completed by course providers who offer continuing education courses for administrators in facilities regulated by the California Department of Social Services.

The form consists of various sections that require details about the course provider, course information, learning objectives, course materials, instructor qualifications, assessment methods, and other relevant details. When filling out the form, course providers should accurately provide all necessary information, including course descriptions, learning objectives, course materials, and instructor qualifications. It is important to ensure that the course meets the requirements set by the California Department of Social Services for continuing education in the Administrator Certification Program.

Application Example: A course provider offering continuing education courses for administrators in California completes Form LIC 9139 to renew the approval of their course. The provider accurately provides course information, outlines learning objectives, specifies course materials, demonstrates instructor qualifications, and ensures compliance with assessment methods. By renewing the course approval through this form, the course provider can continue to offer valuable education to administrators in compliance with state regulations.