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Se Title: Instructor Name (Print) Last First Middle Initial Section II: To be completed by the Participants: Name: (Print) Signature Email Address Phone 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Instructor Signature: Instructions: 1. The instructor for each CEU program/course should print copies of the Attendance Roster and obtain signatures from all participants for each session. 2. The instructor must complete the top portion and sign at the bottom of the form. This Roster will be the off.

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  • rosters
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  • II
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