CL/CDA/CEU Homework Cover Sheet for 42nd Annual Utah Early Childhood Conference 5 Clock Hours for Career Ladder (Levels 1-3, 5-8), CDA and .5 CEU credit will be available for attendance at the 42nd Annual Utah Early Childhood Conference. If you have any questions, please contact Rachel Israelsen at 435-797-2468 or by e-mail at [email protected] Conference Title

Utah Early Childhood Conference

Conference Date(s)

February 25, 2017

Registry Course ID

12018

(Homework Due by March 18, 2017)

Name (as you would like it appear on your certificate) Name of Program You Work in Job Title

Start Date

Mailing Address City Cell Phone

State

Zip E-mail

Please complete this form and submit with completed homework assignment CCPDI. Contact information is below. *The homework assignment must be complete in order to be considered for credit. Incomplete assignments will be returned. You can re-submit a homework assignment for credit, as long as it is still before the due date. You MUST include this Homework Cover Sheet with all requests. Send completed homework to: CCPDI 6515 Old Main Hill Logan, UT 84322 *Homework due dates will be strictly enforced. Homework must be postmarked no later than March 18, 2017 in order to be considered for credit. There are no exceptions to this policy. Conference/training classes attended for CL/CDA/CEU credit must be attended in full. *Please allow 3 weeks for processing of your certificate. If you have any questions please contact CCPDI at 435-797-2468 Monday –Friday or by e-mail [email protected] Submission Checklist □ This cover sheet □ 1 completed Homework Sheet from each session including Key Note, 3 sessions (total of 4 sheets) □ COPY of Certificate of Attendance □ Postmarked NO LATER than March 18, 2017 *Credit will be 5 Utah Level 1-3, 5-8 CL hours, 5 CDA Hours, .5 CEU credit. This credit may also count for Utah Child Care Licensing hours (please contact licensing to verify.)

CEU Homework Sheet for Conference Trainings • •

Please complete this sheet for EACH approved presentation that was attended. Feel free to copy this form as necessary. Be sure that questions are answered thoroughly; incomplete homework will be returned. You may use the back of the form or attach additional sheets if necessary.

Name of Approved Presentation Name of Presenter What knowledge/new ideas did you gain from this presentation/training?

How will you implement what you have learned in your day to day work with children?

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