Professional Development Workshop – Attendance Verification

Participants must attend the complete workshop in order to receive CE credit. This form serves as an "attestation of attendance" in lieu of sign-in/sign-out sheets for live virtual CE workshops.
  • Enter your NAME and your DEGREE(S) as you would like these to appear on your CE Certificate/Certificate of Attendance.
  • Please enter the email address where you would like us to send your certificate.
  • Please enter a phone number where you can be reached if needed.
  • Select the program for which you are requesting a CE Certificate/Certificate of Attendance.
  • Hidden
    Enter your name as you would like it to appear on your CE Certificate/Certificate of Attendance.