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OPA-MCE One Course Provider Application
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OPA-MCE One Course Provider Application
2016-2018
Ohio Psychological Association
Mandatory Continuing Education Office
395 East Broad Street #310
Columbus, Ohio 43215
Phone 888-672-6231 or 614-224-9620
Fax 614-224-6702

mce@ohpsych.org

 

ONLY TYPED OR COMPUTER-GENERATED FORMS WILL BE PROCESSED PLEASE ATTACH ADDITIONAL DOCUMENTS WHERE NECESSARY


OPA-MCE PROVIDER ORGANIZATION




PROGRAM ADMINISTRATOR (PA)-  (This person serves as the OPA MCE primary contact and will be the only person mailing in forms, faxing or contacting OPA-MCE with regards to Attendance Sheets, MCE Calendar, etc.) In the event of the Program Administrator changing, OPA-MCE must be notified so that OPA-MCE’s records can be updated and the new Administrator trained.


MCE PROGRAM DEVELOPER / PRESENTER (PD)











List any state or national accreditations or any other CE provider approval or recognition that
you hold (i.e., APA, OSPA, NASP, etc.)

CURRICULUM CONTENT


How you do assure that course material contributes to the enhanced knowledge about psychology and is relevant to psychological practice (Beyond doctoral education)

COURSES IN ETHICS/CULTURAL COMPETENCY/PROFESSIONAL CONDUCT:




If yes, describe the ethical issues to be addressed. What is your rationale for selecting this focus? What are your qualifications for offering this training?

PROGRAM DEVELOPMENT


What are the qualifications of the person responsible for organizing your CE program? 

If the person responsible for the program is not a psychologist, please describe the contributions any psychologist makes with your educational program selection and development.

GOALS AND OBJECTIVES


How do you maintain a balance and objectivity in your program so that presentations do not predominantly reflect the commercial view of the presenter, the provider organization, and/or anyone providing financial assistance to the organization or presenter?

INSTRUCTION STAFF AND METHODS


DISTANCE LEARNING




Describe the type/format of distance learning and your rationale for selecting this format (eg. CD Rom, Internet, Home study, webinar). Describe the procedures you use to identify participants. What techniques do you use to protect the security and confidentiality of course material? How do you verify the instructional hours of the course? What are the requirements for course completion to award credit? If you will use a test as the basis of awarding credit, describe your rationale for the length of the test, the content and the pass threshold.

GENERAL ORGANIZATION


GENERAL MONITORING


Do you have an annual review in place to assure compliance with current regulations and maintain awareness of any revisions in MCE polices and procedures? If not, how do you intend to implement changes in policies and procedures?
How do you monitor and evaluate an instructor’s experience, knowledge level and teaching ability?
Please describe any complaints or major issues that may have been raised by participants of any previous courses that your organization has offered and how you resolved the issue.

RECORD KEEPING




If non-current records are stored off-site, how will you respond to psychologists requesting records for verification from previous years?

ETHICAL COMPLAINTS


How do you investigate and handle complaints of an ethical or quality control nature?
How does your organization create a supportive environment regardless of an individual’s sexual orientation, gender, age physical ability, race/culture or religious background?

EQUAL ACCESS


How do you determine that the facilities you use are accessible according to the Americans with Disabilities Act?
Does your advertising include a statement on how to request reasonable accommodations for disabilities? How do you plan to provide reasonable accommodations?

AUTHORIZATION


 I certify, on behalf of the CE Provider Organization that completed this application that the preceding statements are true and I understand that any false statements may result in denial or revocation of approval. I have also read and understand the OPA-MCE Provider Guidelines and Policies. Our organization agrees to comply with all OPA-MCE regulations and policies. In addition, our organization agrees to maintain the highest ethical standards as stated in the APA Ethical Principles of Psychologists and Code of Conduct. Finally our organization agrees to fulfill the spirit of all standards relating to equal opportunity and equal access. 





FEE STRUCTURE


The OPA-MCE One-Course Provider fee is $100 which includes a $25 non-refundable application fee. This fee must accompany this application. Should your application be denied, $75 will be refunded. OPA-MCE will retain the $25 application fee.

The $100 fee allows you/your organization to offer one course per year in the period beginning September 1, 2016 and ending August 31, 2018.

PAYMENT