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Course Renewal Form – Single Entry
This form can be used to renew a course. Only one course can be renewed per form.
PIE Course Number being renewed
*
# PDH's Previously Approved
*
Course/Activity Name
*
In what YEAR was your course originally approved?
*
2024
2023
2022
2021 or earlier
How many years would you like to renew your course for?
*
3 years (Good until day of approval in 2028)
2 years (Good until day of approval in 2027)
1 year (Good until day of approval in 2026)
How many years would you like to renew your course for?
*
2 years (Good until day of approval in 2027)
1 year (Good until day of approval in 2026)
How many years would you like to renew your course for?
*
1 year (Good until day of approval in 2026)
PLEASE NOTE: You cannot renew this course. However, you can submit a course accreditation application to have this course evaluated and approved.
Fee Schedule
*
Commercial Training Provider - $75.00
**Not for Profit Training Provider - $25.00
** Must be able to provide evidence of recognized not-for-profit status.
Total - Commercial Training Provider
Price:
$0.00
Total - Not for Profit Training Provider
Price:
$0.00
Total
$0.00
Training Provider
*
*Must match the Original Approval Notice
Training Provider Contact
*
First
Last
Training Provider Address:
Street Address
City
State
*
Zipcode
Email
*
Phone
*
Fax
I hereby certify the information contained in this application and supporting materials to be true to the best of my knowledge and that all attendance records for the previous approval have been filed with PIE.
Signature
*
First
Last
Title
Date
*
MM slash DD slash YYYY
If your course has changed in any substantive way from the original submission, you must resubmit using the Course Accreditation Application, providing all required materials and submitting the appropriate fees.
Total Charge:
$0.00
Method of Payment
*
Mail Check
Online Credit Card
Send Email Confirmation to:
*
Cardholder Information
*
First
Last
Cardholder Address:
Street Address
*
City
*
State
*
Enter 2-Letter State Abbreviation (i.e. NY, NJ, MA...)
Zip Code
*
Credit Card
*
Card Details
Cardholder Name
Make Check Payable to:
The Practicing Institute of Engineering, Inc.
Mail to:
477 Miller Place Road
Miller Place, NY 11764
Email
This field is for validation purposes and should be left unchanged.
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Practicing Institute of Engineering, Inc.
6 Airline Drive, Suite 114, Albany, NY 12205
tel. (518) 283-7493
email piemail@nysspe.org
