Participant Information

Thank you for viewing the Collaborative Model Module presented by the Philadelphia Area Clinical Education Consortium.  To receive a certificate and CEU credit, please complete the following post-test in its entirety.  Once you are completed please email to verify completion.  If you would like more information about the Philadelphia Area Clinical Education Consortium, please go to  We look forward to hearing from you!

* 1. Name:

* 2. Email Address:

* 3. Date Course Completed:

* 4. Place of Employment:

* 5. Position Held: (please choose all that apply)