Selected Video/Webinar Course Questionnaire (1.0 hour)

Selected Video/Webinar Course Questionnaire

Alaska Center for Resource Families
1.0 Hour Training Credit

INSTRUCTIONS: Please view this Selected Video/Webinar Course then fill out this questionnaire, and click on the submit button, or print and RETURN TO: ACRF, 815 Second AVE, Suite 202 Fairbanks, AK 99701 or email to acrf@nwresource.org
Full Name*

First NameLast Name
Mailing Address

Line 1

Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
Are you a*
Foster Parent Number
What is your connection to foster care?

Foster ParentPending Foster ParentAdoptive ParentOther
Would you like to receive emails from us?

Yes :)No
Complete Title of Video/Webinar Course (required for full credit)
Web Address of Video/Webinar Course:
Speaker(s):
1. Please list two (2) specific concepts or ideas that you learned about the topic of this training.
a)
b)
2. After viewing this course, do you feel like this class added to your skills and knowledge in understanding? Please answer “added to my skills and knowledge” or “did not add to my skills and knowledge” and explain your answer.*

Added to my Skills/KnowledgeDid not add to my Skills/Knowledge
Please explain:
FOR CREDIT, CLICK THE SUBMIT BUTTON BELOW.
Should be Empty: