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CE Activity Report Form

*Your Email

*First Name *Last Name

*Library Name

*Event Format

  • Webinar (Live)
  • Webinar (Recorded)
  • Presentation or Lecture (attended in person)
  • Conference or Workshop
  • Other (you may be contacted if more information is needed)

*Date

[ m/d/yy ] single-day event   multi-day event

*Activity / Event Title

*Start Time

[ Examples: 10AM    2:30PM ]

*End Time

[ Examples: 10AM    2:30PM ]

*Presenter / Speaker Name

*Sponsoring Library or Organization

URL (if available)


For more information, contact Holli Duggan.