EQA 301, January 2010 CEU ACTIVITY RECORDING FORM Name:___________________ Registration #:____ Registration Date:__________ Details of Course, Location, Number of Primary Secondary Event Event or Activity Date & Hours Activity Activity Coordinators Time 2 hrs = 1 2 hrs = 1 Name / CEU CEU Signature Total Number of Primary CEUs : Total Number of Secondary CEUs:
EQA 301, January 2010 CEU ACTIVITY RECORDING FORM Name:___________________ Registration #:____ Registration Date:__________ Details of Course, Event or Activity Location, Date & Time Number of Hours Primary Activity 2 hrs = 1 CEU Secondary Activity 2 hrs = 1 CEU Event Coordinators Name / Signature Total Number of Primary CEUs : Total Number of Secondary CEUs: