Brain Injury, Overdose, and Harm Reduction
Certificate of Continuing Education/Attendance
Fill out the form and submit payment to receive certificate.
Name
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First Name
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Organization/Agency
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Phone Number
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Area Code
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E-mail Address
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Confirmation Email
Webinar Evaluation
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Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
1. The information is applicable to my profession.
2. The presenter(s) were knowledgeable about the subject matter.
3.
I learned a great deal from this webinar.
4. Overall, this presentation met my needs.
5. How much did you learn as a result of this CE program?
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1
2
3
4
5
Very Little
Great Deal
1 is Very Little, 5 is Great Deal
6. How useful was the content of this CE program for your practice or other professional development?
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1
2
3
4
5
Not Useful
Extremely Useful
1 is Not Useful, 5 is Extremely Useful
Additional Comments:
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General Attendance Certificate
$15.00
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Free for members - members, please contact mcrowley@nashia.org for your coupon code for a free certificate.
Social Work CEs
$15.00
$
15.00
$10 for members - members, please contact mcrowley@nashia.org for your coupon code for a free certificate.
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