Course Verification Request Form

To begin the course verification process, we’ll need to confirm some basic information about you. Please complete the form below as best you can.

When completed and submitted, make sure to schedule your phone consultation. We’ll use the information you shared in your Courseography profile and this verification form as the basis for our conversation.


Date *
Date
Name *
Name
Address *
Address
Phone
Phone
Course Information
List the courses you wish to have verified. One course title per line.
Please list one learning provider per line and any other relevant details. Online learning providers and marketplaces are okay to include here. If you have not offered these courses previously, that's okay.
References
Please include at least (3) professional references who can validate your subject matter expertise and professional experience. We will only contact your references if we need to confirm information in your instructor profile. Not all references will be contacted. If you have any questions, let us know and we can address those during the phone consultation.
Professional Reference #1 *
Professional Reference #1
Phone Number
Phone Number
Professional Reference #2 *
Professional Reference #2
Phone Number
Phone Number
Professional Reference #3 *
Professional Reference #3
Phone Number
Phone Number
Consent *
Please review and confirm you're willing to proceed with the course verification process.