ILICA Certification Continuing Education Credits (CECs) Reporting
Please document all recent qualifying CECs for the ILICA Certification Program.
Name
*
First Name
Last Name
Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Sponsor
*
ADMC
IADD
Illinois LICA
JULIE
NRCS
SWCD
University of Illinois
Other
Education Topics (check all that apply)
*
Business
Conservation
Drainage
Earthmoving/Excavation
Safety
Septic/On-Site Waste
Technology (GPS, Design Software)
Other
Continuing Education Credit Hours
*
Please briefly describe the event details:
*
Submit
Should be Empty: