Continuing Education Credits (CEC) Tracking Form
Please print or type. Activities should be listed in order by date. For additional instructions,
please refer to the ATR-BC Recertification Standards.
Name: __________________________________________ ATR-BC #: __ __ - __ __ __ Exp. Date:
Activity
Date
Activity
Presented by
Name of Approved
Provider
Content Area*
Number
of CECs
Claimed
(sample)
11/25/2013
Attended a conference workshop
entitled “Art Therapy Ethics
John A. Therapist,
ATR-BC
AATA
Ethics
2 hrs.
*Must match the title of the content areas listed on page 3 of the recertification standards
Total for This Page
COPY FORM AS NEEDED