If no describe, Verification of Participation and Successful Completion all that apply): X Attendance will be verified at the event. If no, please explain: X Completion/submission of evaluation form. X Attendance at 80% of the event. X Other (please describe): Participant must attend the program in its to receive entirety contact hours Participant must be informed of criteria prior to participation by: X Information on brochure/advertising material. X Verbal statement at beginning of activity. X Written information on handouts. (please describe): For External Applications Only: Describe your record-keeping system: (see External Application directions, page 5, for specific requirements) Attach a copy of the brochure or that will advertise the CE activity. If brochure is not yet complete, send a copy of the draft. Send the final brochure/flyer prior to the activity. NOTE: Contact hours MAY NOT be advertised prior to approval. Statements such as or for” MAY NOT be used. “pending” “applied Attach a completed Activity Approval Form” (see page 10) “CE
If no describe, Verification of Participation and Successful Completion all that apply): X Attendance will be verified at the event. If no, please explain: X Completion/submission of evaluation form. X Attendance at 80% of the event. X Other (please describe): Participant must attend the program in its entirety to receive contact hours Participant must be informed of criteria prior to participation by: X Information on brochure/advertising material. X Verbal statement at beginning of activity. X Written information on handouts. (please describe): For External Applications Only: Describe your record-keeping system: (see External Application directions, page 5, for specific requirements) Attach a copy of the brochure or that will advertise the CE activity. If brochure is not yet complete, send a copy of the draft. Send the final brochure/flyer prior to the activity. NOTE: Contact hours MAY NOT be advertised prior to approval. Statements such as “pending” or “applied for” MAY NOT be used. Attach a completed “CE Activity Approval Form” (see page 10)