Serving the Healthcare licensing community since 1992

ProBE Program

All items on this enrollment form may be filled out and printed from this website, but hardcopy must be mailed with original signature. Please do not attempt to submit electronically.

Click here for printer-friendly, PDF version of this Enrollment Form.

The ProBE Program is now offered six times each year at two locations: New Jersey and Colorado. In New Jersey, it is held at the University Inn on the Rutgers University Campus in New Brunswick, two miles from the NJ Turnpike (Exit 9) and about 20 miles from Newark International Airport. [Telephone 732-932-9144]. In Colorado, it is held at the Radisson Stapleton Plaza 20 miles from Denver International Airport (complimentary shuttle). [Telephone: 800-333-3333].

The meeting starts on Friday evening and is completed by Sunday 1 PM. Because we maintain a specific faculty-participant ratio, enrollment is carefully controlled. An early reservation for the session of your choice is strongly advised, as is a second choice. If your first choice is not available or if there is insufficient enrollment, you will be advised and enrolled in the very next open session.

(Click on current schedule for exact dates and deadlines.)

2008 AVAILABILITY

(PLEASE PRINT OR TYPE)

Tuition for The ProBE Program is $1,200 paid in full, three weeks before the start of the sessions. A preliminary payment of $200 is required with this enrollment application. This represents a deposit of $150 and a non-refundable administrative fee of $50. The deposit will be returned if you cancel three weeks before the start of the course.

No refunds will be made for cancellations received later than three weeks before the start of the course

Tuition includes all teaching materials, coffee breaks and Saturday luncheon. Travel, hotel and meal expenses for the two-night, weekend sessions are the responsibility of the participant.

Upon enrollment in The ProBE Program, it is understood that:

1. Participants must attend all sessions, participate in the discussions, and complete all written assignments in order for the faculty to provide an assessment to the appropriate licensing board (or other agency).
2. Participants agree to cooperate with the ProBE Program faculty and coordinator in gaining access to information from the appropriate licensing board (or other agency) relevant to the purposes of this seminar.
3. This assessment will include (a) certification of participation, (b) a copy of the final essay with faculty commentary, and (c) an overall opinion of the participant's capacities for ethical reasoning and insight demonstrated over the whole course of The ProBE Program. (A copy of this assessment letter will be provided to the participant.)
4. This assessment is part of the information reviewed by the licensing board or other agency of jurisdiction: Completing ProBE may be a necessary but not a sufficient condition for the resolution of the total requirements of the Board or other agency.

I understand these terms and conditions of The ProBE Program and hereby agree to abide by them and provide authorization for the faculty to assess my participation and to divulge the assessment to the licensing board that has jurisdiction.

If you have filled this form out on this website, you must print this webpage before signing and mail all the pages directly to the address below. (If you print the 2-page PDF Version, fill it out, sign and mail to the address below.)

Please mail enclosure (Full payment must be received three weeks before start of session.)

$ 1,200 Full payment (including non-refundable $50 fee.) $ 200 Deposit ($150, and non-refundable $50 fee.) Please make check or money order payable to: CPEP-ProBE 7351 Lowry Boulevard, Suite 100 Denver , CO 80230 E-mail: Cindy Usick, ProBE Program Coordinator