Leadership for Dining Success - Maximize Your Communities Potential

Continuing Education Attestation Form - Nursing Home Administrator

I hereby certify that I have met all the requirements of the course(s) for awarding applicable continuing education credits. Participants should retain the email confirming the completion of this course for their records.

Are you submitting attestation for Nursing Home Administrator hours?

Date of Event

mm/dd/yyyy

First Name

Last Name

Facility Type

Address

City/State

The speaker(s) presentations were clear and well organized.

The topic of today's session is applicable to my work and will help me improve my performance.

The program objectives/outcomes were addressed.

I would recommend this topic again.

Did this presentation increase your knowledge of the topic?

Comments on topic?

Ease of use of the online platform.

Comments on online platform?

Rate the presentation overall.

Comments about overall presentation?

Describe any "pearl" or takeaway messages.

Please provide any other suggestions or feedback.

Given the scope your practice, what educational needs do you have?

Send me a copy of my responses

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Leadership for Dining Success - Maximize Your Communities Potential﻿

Continuing Education Attestation Form - Nursing Home Administrator

Leadership for Dining Success - Maximize Your Communities Potential