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Training Credit Submission Form

  1. TRAINING REFLECTION

    To receive credit for materials used which are not part of a formal workshop in which participants are supplied with a certificate to verify their attendance, you must complete the following questionnaire. Present this questionnaire to your licensor for approval towards the training credit. Which materials qualify for credit and the number of credits accepted will be determined by your licensor. If you have questions whether an activity, book, video, or other material will be accepted, please contact your licensor to discuss it.

  2. Type of Material:

  3. Video (Minutes); Book (Number of pages); Lecture (Minutes)

  4. Leave This Blank:

  5. This field is not part of the form submission.