ATTENDANCE RECORD FORM

INSTRUCTIONS - To receive CE credit, you must:

1. Complete the contact information below.
2. Check each session you attended and completed an evaluation for.
3. Sign and date electronically.
4. Submit this form as soon as possible after completing all sessions.

You will receive an email from us with a link to download your CE certificate in a PDF format.

Continuous Online Group (6 credits)
Monday Special Institutes (select one)
Tuesday/Wednesday Two-Day Institutes including Institute Opening Plenary - 13 hrs (select one)













Wednesday Evening Plenary:
Thursday early morning open sessions and colloquies - 1 hr (select one)



Thursday Morning Plenary - 1hr
From below, you may select ONE all-day session or one from the morning group and/or one from the afternoon group.
Thursday all-day sessions - 5 hrs (select one)



Thursday morning Sessions - 2.5 hrs (select one)






Thursday lunch session - 1.25 hrs
Thursday afternoon sessions - 2.5 hrs (select one)






Friday early morning open sessions and colloquies - 1 hr (select one)



Friday Morning Plenary - 1hr
From below, you may select ONE all-day session or one from the morning group and/or one from each, the early and late afternoon groups.
Friday all day sessions - 5 hrs (select one)


Friday morning sessions - 2.5 hrs (select one)








Friday lunch session - 1.25 hrs
Friday afternoon Cinema Presentation - 2 hrs
Friday early afternoon sessions - 1.5 hrs (select one)







Friday late afternoon sessions - 1.5 hrs (select one)






Saturday early morning open sessions and colloquies - 1 hr (select one)


From below, you may select ONE all-day session or one from the morning group and/or one from each, the early and late afternoon groups.
Saturday all day sessions - 5 hrs (select one)


Saturday morning sessions - 2.5 hrs (select one)







Saturday afternoon sessions - 2.5 hrs (select one)






I confirm that I have attended, in their entirety, all events I have designated on this form and have completed the applicable evaluations forms.

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