Fillable Attendance Continuing Professional Education Certificate of Expo Academy

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Attendance Continuing Professional Education Certificate of Expo Academy

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Continuing Professional Education Certificate of
Attendance
Academy of Nutrition and Dietetics – 2018 Food & Nutrition Conference &
Expo™
October 20-23, 2018 – Washington, D.C.
-Attendee
Copy-
Provider Signature RETAIN ORIGINAL COPY FOR YOUR RECORDS
*Refer to your Professional Development Portfolio Learning Plan
Present a separate Certificate of Attendance Form for each session attended to your Licensure Board upon request.
Continuing Professional Education Certificate of
Attendance
Academy of Nutrition and Dietetics – 2018 Food & Nutrition Conference &
Expo™
October 20-23, 2018 – Washington, D.C.
-Licensure Copy-
RETAIN ORIGINAL COPY FOR YOUR RECORDS
Provider Signature *Refer to your Professional Development Portfolio Learning Plan
Participant Name:
Registration Number:
Session Title:
Learning Need Codes*
or
Performance Indicators*
Date Completed:
10- -2018
Activity Number:
CPEUs Awarded:
Participant Name:
Registration Number:
Session Title:
Learning Need Codes*
or
Performance Indicators*
Date Completed:
10- -2018
Activity Number:
CPEUs Awarded:
PROVIDER #: AM003
PROVIDER #: AM003
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Attendance Continuing Professional Education Certificate of Expo Academy

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Completed 16 April 2021

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