OFFICIAL RECORD OF ATTENDANCE FOR CALIFORNIA MCLE

Provider: ___________________________________________________
Provider Number: ___________________________________________________
Title of Activity: ___________________________________________________
Date(s) of Activity: ___________________________________________________
Time of Activity: ___________________________________________________
Location of Activity (City/State): ___________________________________________________
TOTAL ELIGIBLE CALIFORNIA MCLE CREDIT HOURS:
Legal Ethics: ___________________________
Elimination of Bias in the Legal Profession: ___________________________
Prevention, Detection and Treatment of Substance Abuse/
Mental Illness that Impairs Professional Competence: ___________________________

NAME OF ATTENDEE

CALIFORNIA STATE BAR NO.

ATTENDEE SIGNATURE

REMINDER TO PROVIDER: Keep this record of attendance for 4 years after the date of completion of this activity.
Questions: Email providers@calbar.ca.gov.
MCLE Record of Attendance 2008-1

ACTIVITY EVALUATION FORM FOR CALIFORNIA MCLE

Please complete and return to Provider (Please Print).
Provider: __________________________________________________ Provider Number: ________________
Provider Phone Number: _____________________________________________________________________
Provider Address: ___________________________________________________________________________
Title of Activity: _____________________________________________________________________________
Date(s) of Activity: __________________________________________________________________________
Time of Activity: ____________________________________________________________________________
Location of Activity (City/State): ________________________________________________________________

Directions: Please mark the appropriate box to indicate your evaluation of this course.

YES

NO

1. Did this program meet your educational objectives?

2. Did the environment have a positive influence on your learning experience?

Comments: ___________________________________________________________________

3. Were you provided with substantive written materials?

Comments: ___________________________________________________________________

4. Did the course update or keep you informed of your legal responsibilities?
Comments: ___________________________________________________________________

5. Did the activity contain significant current professional content?

Comments: ___________________________________________________________________

Comments: ___________________________________________________________________

Please rate the faculty on a scale of 1 to 5 (1 being the lowest; 5 being the highest).
Overall Teaching
Effectiveness
Instructors Name: _______________________________
Subject/Topic:

_______________________________

Comments:

_______________________________

Instructors Name: _______________________________

Subject/Topic:

_______________________________

Comments:

_______________________________

Instructors Name: _______________________________

Subject/Topic:

_______________________________

Comments:

_______________________________

Name of Participant: _____________________________

(optional)
First
MCLE Activity Evaluation 2008-1

Effectiveness of
Teaching Methods

Significant Current
Knowledge of
Subject

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

5 4 3 2 1

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Last