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NJCE LIVE - GROUP SIGN IN SHEET


If You Were Not with a Group and Attended On Your Own DO NOT SUBMIT THIS FORM.

Supervisor/Training Administrator: Please Complete this Form in its Entirety. Thank you

Please Submit within 24 Hours

* Questions with an Asterisk Must be Completed.
1.Choose the Live Virtual Course Title:(Required.)
2.Date and Start Time of the Course:(Required.)
Date / Time
Time
:
3.Agency (Employer):(Required.)
4.Department:(Required.)
5.Supervisor Information (Please Complete All Fields)(Required.)
6.If you have a Water/Wastewater License # enter it below
7.Did you attend the Training?(Required.)
8.For Supervisor:
"I attest the submitted participants attended the entire course and were given the opportunity to ask questions about the material."(Required.)
9.Registered Name (Zoom):(Required.)
10.Did you attend the training?(Required.)
11.Number of Participants that Attended the Training (Number Only) Please Complete the Participants Information on the "NEXT PAGE" by Clicking the the Green Button Below. Thank you (Required.)
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