Dentutopia Course Submission Form

Please fill out the form below to help us accurately display your new course information. If you have any questions, please reach out to Alex Valderrama at al**@cr***********.com.

SUBMITTED BY

If different than the Educator. NOT REQUIRED

Email

Phone/Mobile

First Name

Last Name

EDUCATOR INFORMATION

First Name

Last Name

Title/Credentials and Specialty

Email

Phone/Mobile

Educator Professional Headshot Upload

Choose File

Educator Bio Upload

Choose File

NEW COURSE INFORMATION

Please fill out all required fields.

Course Title

Main Course Category (Select One)

View Today, Use Today: quick/short content. No CE credits / quizzes.

Individual Modules: 3 quiz questions per hour/every 20 mins.

Pre-Recorded Live Lectures (live audience): 3 quiz questions per hour/every 20 mins.

Comprehensive Courses: (longer/multiple modules) Individual courses are available separately. 3 quiz questions per hour/every 20 mins.

Preferred Course Subcategory (Discipline)

VIDEOS - Link(s) to download Course and Lessons

QUIZ - File Upload

Please include in your document (one) quiz questions per every 10 minutes.

PLEASE NOTE: Quiz questions are required for the Main Course Categories: Individual Lectures, Pre-Recorded Live Lectures, and Extended Lectures. Quiz questions are not needed for "View Today, Use Today" unless they provide CE credits.

AGD PACE Subject Code

AGD SUBJECT CODES ARE LISTED >HERE<

Choose File

Course Cost

Course Time

Course Description

Course Objectives

Additional Comments

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