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Lifeprint
Extended Transcript System |
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Continuing Education Unit Documentation Form
Student: Address: Program,
Event or Course Title: Program Location:
Sponsoring agency: Agency Contact Information:
Date of event: Contact Hours: Continuing
Education Units: __________ Name of presenter(s):
Subject Category: Description:
Acknowledging
Signature: The person signing above acknowledges that the student attended the program, event, or course listed above. |
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