Course Exit (CEU) Survey

[1250] MELANIE POTOCK | Food Allergies Masterclass [August 4, 2023] | Exit CEU Survey

Note: You must complete this form in order to earn CEUs, and to receive your certificate of completion. You will receive a confirmation email and a copy of your form after successful submission of the CEU Survey. Please do not submit the form more than once.

10/15/2024
Date*
MM slash DD slash YYYY
Name*
First Last
Email Address*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
(ex., 555-123-1234)
Do you need TalkTools to report ASHA CEUs for you?*
- Yes
- No
ASHA #*

ASHA number is required if you want TalkTools to submit CEUs to ASHA on your behalf -- see TalkTools CEU Policy and Process https://talktools.com/pages/talktools-ceus-policy-and-process for more info. Type in N/A if you do not need ASHA CEUs.
Are you an AOTA member?*
- Yes
- No
Please provide any feedback to help Melanie provide the best quality continuing education*
Terms and Policy*
- I have read and understand the TalkTools Course Completion and CEU Policy
Learn more: https://talktools.com/pages/talktools-ceus-policy-and-process
FAQs*
- I have read and understand TalkTools Training FAQs
Learn more: https://education.talktools.com/e-learning-faqs/

Follow these steps to download and print your certificate

Click on the certificate image to open downloadable certificate
Click on the download icon on top right on your screen
Go to your files on your computer and click on certificate to open
Add your name, date of workshop and location
Save to your computer and/or print for your records