Follow the steps to fill out the MN Continuing Education Reporting Form correctly.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. In the designated fields, enter your full name as listed on your license.
3. Provide your license number in the corresponding section to ensure proper identification.
4. Indicate the continuing education report due date. Refer to your licensing documents for this information.
5. Fill in your daytime telephone number for potential follow-up.
6. Select your practice area by checking the appropriate box: Audiologist, Speech-Language Pathologist, or Dual.
7. Answer the question regarding your current Minnesota teacher’s license status. If applicable, remember to attach the necessary affirmation form.
8. List the title of the workshop, presentation, seminar, or other educational activities attended.
9. Enter the name of the presenter, sponsor, or designee responsible for the activity.
10. Document the attendance date(s) in the format MM/DD/YY. Ensure the dates reflect courses attended within the required timeframe.
11. Specify the total contact hours for the continuing education activities reported.
12. Confirm that the information provided is accurate by signing and dating the form. This must occur within 30 days of submission.
13. Once all fields are completed, save your changes and choose to either email, fax, or print the completed form for submission.

Complete your Minnesota Continuing Education Reporting Form online today to maintain compliance and support your professional development.