4 Self-Directed Learning CBAP® Number: Date Submitted: 5 Volunteer Service 6 Professional Experience Recertification Date: Activity CDU EEP Course Activity Organization Start End Contact # CDUs (for category 6 include Category Number – Number Information Date Date (1-6) hours of work experience) (if applicable) Total CDUs Reported
CBAP® Number: 4 Self-Directed Learning Date Submitted: 5 Volunteer Service Recertification Date: 6 Professional Experience Activity Number CDU Category (1-6) Organization Information Contact Activity (for category 6 – include hours of work experience) EEP Course Number (if applicable) Start Date End Date # CDUs Total CDUs Reported
cdu_reporting_form_march_2012.docx