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Self Study Questionnaire

  1. Self Study Questionnaire

  2. Self Study Questionnaire Instructions

    To receive credit for materials used which are not part of a formal workshop in which participants are supplied with a certificate to verify their attendance, you must complete the following questionnaire. Present this questionnaire to your licensor for approval towards the training credit. Which materials qualify for credit and the number of credits accepted will be determined by your licensor. If you have questions whether an activity, book, video or other material will be accepted, please contact your licensor to discuss it.

  3. Title of Material:

  4. Videos in minutes, Books in pages

  5. Submission Process

    Once you have completed your form, submit and either save a copy to email to your caseworker, or print a copy to deliver to your caseworker. Unless the form is sent to your caseworker, you may not receive credit for the training.

  6. Leave This Blank:

  7. This field is not part of the form submission.