| |

|
 |
 |
For a printable version, you may cut and paste this page into your word processing program
or click here for a printable version in DOC format.
ACADEMIC LANGUAGE THERAPY
Continuing Education Units - Record of Continuing Education Hours
STATE BOARD OF EXAMINERS
ACADEMIC LANGUAGE THERAPY
ASSOCIATION |
YOUR NAME:
________________________________________ |
RECORD OF CONTINUING EDUCATION HOURS
EARNED/USED/AVAILABLE/DROPPED
Course
Title |
Name of
Approved
Sponsor |
Date
Hours
Earned |
Renewal
Period |
Available for
Use Through
Date |
Hours
Earned |
Hours
Used |
Hours
Dropped |
EXAMPLE:
(enter name
of event) |
(Enter name -
Refer to list) |
6/26/00 |
9/1/99-
8/31/00 |
8/3/02 |
35 |
10.0, 8/00
10.0, 8/01
10.0, 8/02 |
5.0 (after
8/02 renewal) |
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|