This Independent Study Activity Plan must be approved by a RID Approved Sponsor
PRIOR to the onset of the activity.
CMP Participant Name: __________________________ RID Member #:____________ Participant’s Address: _____________________________________________________ City:________________________ State:________________ Zip:__________________ Email:___________________________________ Phone #________________________
2.0 CEUs each.)
I agree to implement the Independent Study Activity as outlined in this plan and to submit all the necessarydocumentation of successful completion to my Sponsor. I certify that this activity for CEU credit toward the RID CMP requirements represents a valid and verifiable Continuing Education Experience that exceeds routine employment responsibilities.
I will insure that this Independent Study Activity will be overseen and evaluated by individual(s) with the relevantexpertise. I, or my designee, have discussed the Independent Study Activity outlined in this plan with the participant and agree that it represents a valid and verifiable Continuing Education Experience. Further, I or my designee, agree to assess the documentation submitted to me by the participant upon completion of the Independent Study Activityand award _____ CEUs if completion is satisfactory.
Updated July 2005