Fillable This is to certify that Name of Employee (North Carolina)

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This is to certify that Name of Employee (North Carolina)

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This is to certify
that
Name of Employee
has successfully completed the
North Carolina
State-approved Infection Control Training
for Adult Care Homes
on the day of , 20
.
_____________ Continuing Education Hours
(a maximum of 3 hours may be allowed)
Certified
by:
Print Name of Trainer Employed by
Signature of Trainer Date
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This is to certify that Name of Employee (North Carolina)

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Completed 19 January 2022

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