PEER EDUCATION TEMPLATE Name: Date: Type of Education (presentation, lecture, poster, precepting): Date(s) of Education: Who did you educate? Topic/title of Education: Did you provide any written material? Describe and/or list handouts: Description of topic content: What feedback did you receive? Leader signature: __________________________________ Print name:__________________________________ Signature of attendees or signature of person who can verify the to be accurate. (Sign in sheets can be attached).
PEER EDUCATION TEMPLATE Name: Date: Type of Education (presentation, lecture, poster, precepting): Date(s) of Education: Who did you educate? Topic/title of Education: Did you provide any written material? Describe and/or list handouts: Description of topic content: What feedback did you receive? Leader signature: __________________________________ Print name:__________________________________ Signature of attendees or signature of person who can verify the to be accurate. (Sign in sheets can be attached).
Clinical-Resource-app-2016.docx