CERTIFICATION BOARD
GOVERNMENT FINANCE OFFICERS ASSOCIATION OF ALABAMA

P.O. Box 240574
Montgomery, AL 36124-0574

CGFO RENEWAL APPLICATION
AND
CONTINUING PROFESSIONAL EDUCATION REPORTING FORM
FOR THE YEAR ENDING SEPTEMBER 30, ______

Name ______________________________________________________________________

  Last   First Middle  
Address ____________________________________________________________________
City _____________________________ State _________________ Zip ________________
Certificate Number_______________________________ Date Issued __________________
 
Annual Renewal Fee:   $30.00  
 
INSTRUCTIONS
1.

This form MUST be used to report your continuing education credits in connection with the renewal of your annual permit to practice. The continuing education credits earned are a prerequisite to the renewal of your certification.
2.

Please type or print this form. If additional space is needed, part of this form may be reproduced or additional paper may be used. Supporting documentation should be retained in your files for three years and should NOT be submitted to the Board.

Please report by categories, the hours for which you are entitled to credit for previous year ending September 30 as listed on the other side of this form.
  1. Education Programs Attended _____ Hours
  2. Speaker, Discussion Leader or Instructor _____ Hours
  3. Correspondence or Individual Study Programs _____ Hours
  _____ Total Hours
 
SIGNATURE_________________________________
 
DATE_______________________________________

 

 

School, Firm or
Organization Conducting Program 		Date(s)
Attended 		Course Title Code CE Hours
         
         
         
         
         
         
         
         
         
         
         
         
         
         
   
 
Codes:  
A Participant (for seminars, each 50 minutes equals 1 CE hour, for college courses, each semester hour equal 15 CE Hours, each quarter hour equals 10 CE Hours)
B Instructor or Lecturer (Actual preparation time up to double the presentation time)
C Correspondence/Individual Study (hours specified by provider)