Live Webinars-Group Roster-Academy Center for Lifelong Learning

Live Webinar Group Listening Participant Roster

Thank you for hosting a group listening opportunity for the Live Webinar series hosted by the Academy Center for Lifelong Learning. Please complete this brief online form to verify attendance and CPEU eligibility for your participants.

**Please note: Group listening is a member benefit. Only participants with an active Academy membership are eligible to earn CPEU from listening to the Live Webinar Series.

Question Title

* 1. Webinar Event Title:

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* 2. Webinar Event Date:

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* 3. Group Listening Chair/Host:

First Name

Last Name

Academy/CDR Number

Email Address

Question Title

* 1. Webinar Event Title:

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* 2. Webinar Event Date:

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* 3. Group Listening Chair/Host:

Question Title

* 4. In the following box, please provide the following information for each attendee:-First Name/Last Name and Academy/CDR Number

* 4. In the following box, please provide the following information for each attendee:
-First Name/Last Name and Academy/CDR Number