Fillable Continuing Education Log (Center for Credentialing & Education)

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Continuing Education Log (Center for Credentialing & Education)

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Country of origin: US
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BROWSE CENTER FOR CREDENTIALING & EDUCATION FORMS

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Continuing Education Log
BCC Number: _____________ Certication Date: _____________ Expiration Date: _____________
BCC’s Name: _______________________________________________________________________________
Date Course/Activity Content Area Provider or
Sponsor Name
Type of
Documentation
Number of
Hours
I hereby certify that the continuing education courses/activities listed above are a true and accurate account of the
renewal activities I engaged in during this renewal period.
Signature: ____________________________________________________ Date: _______________________
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Continuing Education Log (Center for Credentialing & Education)

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Completed 26 May 2021

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