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TYPE or PRINT above the lines on this form. This assures the proper documentation of your training hours. For instructions on how to fill out this roster, please refer to your Instructor Manual, visit crisisprevention.com, or call 877.877.5390. STEP 1: COURSE INFORMATION Please indicate the name of the course taught, the first and last dates of training, the number of course hours taught, and mark with an X which training option was conducted. Consult your Instructor Manual or Leader s Guide.

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