Skip Navigation

WARNING

Javascript / Active Scripting must be enabled in your browser in order to submit this form.
Before attempting to fill this form, you must enable Javascript. Click here for help with this error.

Let us know when you've earned continuing education credits so we can record them. Please report activities within 90 days.

Nebraska Library Commission
CE Activity Report - Online Form
Email:


First Name:                                                           Last Name:
                          

Library Name:


Title of event (or description, if it didn't have a title):
Sponsor of Event:
Date(s) Attended (just fill in first blank if the event was only 1 day):
   to  
                [ mm / dd / yy ]
Presenter/Teacher/Facilitator:
Start and End time of the event:
What kind of activity was it? (indicate one) Workshop Lecture Course Conference Demo Other
How was the content delivered? (indicate one) Video Web Podcast In Person Other
How did this activity help you with your job in the library? (box will expand as you type)

Please print a copy for your records before submitting.



Once you have completed the form, and clicked the submit button, the form will be sent to Linda Jensen in Library Development to be added to your certification record.

A Print Version of this form is also available.


For more information, contact Laura Johnson.