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PROVIDER:
PROGRAM NAME:
PRESENTER(S):
PROGRAM SITE:
DATE(S) OF PROGRAM:
CONTACT HOURS:
_____________
This Certificate of Attendance verifies that the individual named below has attended this Program and was
awarded the Contact Hours stated herein.
LICENSEES NAME:
LICENSE NUMBER(S):
Jessica Pimentel
N/A
In order for licensees who have attended this approved Continuing Education Program to
receive credit for attendance (to meet CE requirements for licensure renewal), the following
methodology is recommended to fulfill this objective:
Licensees information will be entered into CE Broker by NASW-FL, however you should retain this
original Certificate of Attendance in a safe place as verification of course completion.
In all cases, the individual licensee is ultimately responsible for their own continuing education
contact hours.
Jim Akin
Sponsor Representative
Revised 04-15