Sample continuing education form 2025

1. Click ‘Get Form’ to open the sample continuing education form in the editor.
2. Begin by entering your name and certificate number in the designated fields at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Fill in your Social Security Number and telephone number. This information is mandatory for processing your application.
4. Provide your mailing address, including street name, city, state, and zip code. Double-check for any typos to avoid delays.
5. In the section titled 'TITLE OF IN-SERVICE TRAINING OR CONTINUING EDUCATION COURSE AND SUBJECT', list each course you have completed along with the corresponding training provider's name and contact number.
6. Record the attendance dates and total hours attended for each course. Make sure these totals are accurate as they will be reviewed if requested by ATCS.
7. Finally, sign and date the form at the bottom to certify that all information provided is correct before submitting it through our platform.

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