Tuning Up Health Promotion: New Lyrics across the Lifespan

Event # 01-203
Continuing Education Form and Participation Record
If you are applying for Continuing Education you must complete this form and an evaluation form for each session you attend. Return this to the Continuing Education Desk (in the Registration Area) or to the Registration Desk before you leave.

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* 1. Which type of Continuing Education Credit are you applying for?

REMEMBER for any session you may only receive Continuing Education Contact Hours for either Entry-level OR Advanced-level NOT BOTH.
The following information is REQUIRED for ALL participants requesting CHES/MCHES CECH credits, CPH renewal credits, or a certificate of attendance:

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* 2. Please complete the following

Instructions for completing the Participant Record:
Keep track of your attendance each day and create daily subtotals
At the end of the conference, total credits requested.

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* 3. Take note:
If you are a session or poster presenter, please indicate below:

(First time presentation of a session, seminar, workshop, and poster session approved for Category 1 Hours. For speakers: 2 CECH for 1 hour program, 1 CECH for programs less than one hours, 2.5 CECH for 1 1/4 hour program. For Poster Sessions: must write an abstract that includes measurable objectives and present session-1 CECH per session. A presenter may claim CECH for either presenting or attending the workshop but not both.)

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