DCBC Evaluation
DCBC Sept/Oct CE Certificate:
Please fill out the information below to automatically generate your DCBC CE certificate.
Title
Choose from the list of webinar titles on the dropdown menu below
Developmental Care Book Club
Name
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First
Last
Please provide one of the following -- You State License#, Employee#, Last 4 digits of your Social (One of these is required for CE Certificate)
*
Email
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Enter any other comments here. Thank you for your time!
Module
Sept - Oct 2018: Chapter 5 & 19 Discussion
Course Code Prefix
*
These numbers will show BEFORE the course code on the template.
Template Color
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(Don't forget the #)
Number of Units Earned
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(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
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CONTACT INFORMATION
Email for Questions – ceuprovider@nursekathi.com