Approved Provider Credit Application
Corporate and Non-Profit Organizations
Please submit one application per session.
Corporate/Non-profit Name
*
Point of Contact
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Event Title
*
Event Date
*
Event Location
*
What is the time of your session, i.e. 12:00 PM - 2:00 PM.
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Session Description
*
Learning Outcomes
*
Upload Agenda
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Speaker Biographies
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Select the domain relevance of your training (check all that apply).
*
Strategic Business Planning
Buyer / Supplier Relations
Travel Program Administration
Data / Analytics / Finance
Read more about
Domain Relevance
Submit
GBTA OFFICE USE ONLY
Date Application Received
-
Month
-
Day
Year
Date
Date Reviewed
-
Month
-
Day
Year
Date
Recertification Credits
Approved?
Yes
No
If not approved, please explain:
Date Chapter Notified
-
Month
-
Day
Year
Date
Application Payment Receipt
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Approve / Deny
Should be Empty: