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FORM FOR REPORTING SOCIAL WORK …

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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 belo

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

  Social, Education, Reporting, Work, Continuing, Continuing education, For reporting social work, For reporting social work continuing education

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