FORM FOR REPORTING SOCIAL WORK …
January 15, 2015 This form is only for use when a continuing education provider does not provide a certificate of attendance. FORM FOR REPORTING SOCIAL work continuing education Name of Licensee ______________________________________Li cense Licensee's Address ________________________________________ __________________________ Title of Session_________________________________ ____________________________________ Sponsor ________________________________________ __________________________________ Date(s) & Time of Attendance ________________________________________ ________________ Amount of Credit Received ________________________________________ __________________ Actual time spent in session The instructor, sponsor, leader, training coordinator, or agency director must sign below attesting to attendance. ________________________________________ ___ ___________________________________ Name & Credentials (typed or printed) Signature NOTE TO LICENSEE: Licensees must maintain verification of attendance at all continuing education workshops.
January 15, 2015 This form is only for use when a continuing education provider does not provide a certificate of attendance. FORM FOR REPORTING SOCIAL WORK CONTINUING EDUCATION
Download FORM FOR REPORTING SOCIAL WORK …
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
Work, For Special Education Life Skills, For Special Education Life Skills Classrooms, Organizational Culture in Social Work Professional, Organizational Culture in Social Work Professional Education, Education, Getting practical, Getting practical Practical work, Work Field Education Core Competencies, Work Field Education Core Competencies and