Evaluation & Continuing education request form

Member Forum: A Critical Look at the O-Word Bill of Rights

Use this form to provide feedback on this event and/or if you are requesting a CDR certificate of completion or a certificate of attendance for other credentialing organizations. Please allow 5 business days to process CE certificates and certificates of attendance.

Continuing Education Credit Options

The CPE activity application for this event is pending CDR review and approval for 2 CPEUs. You may submit your request for CDR and we will notify you once the review is complete. We can also prepare a certificate of attendance to support submissions to other accrediting bodies. Note: Check your credentialing organization to see if they accept pre-approved CDR continuing education credits.

Session Evaluation & Continuing Education Certificate Request Form

Did you attend the live session, watch the recording, or both? *

I attended the live session.
I watched the recording.
I did both.

Are you requesting a continuing education certificate of completion/attendance? (CEs are only available to the Professional Membership tier) *

I am requesting a certificate of completion for CDR pre-approved credits. (CDR Review Pending)
I am requesting a certificate of attendance to support my individual submission for continuing education credits.
I am not requesting a CE certificate.

What lessons from this session are you taking with you into the world? *

As a result of this session, what actionable steps will you make professionally or personally? *

What will you do to continue learning about the topics covered in the session?

Do you have any other last comments or thoughts to share with the ASDAH Leadership Team?