COURSE ATTENDANCE VERIFICATION

Participant's Name: test ce

State and License #: 1234

Participant AGD ID#: 1234

Course: Creating Your Vision & Getting Your Team Aligned

SPEAKERS: Dr. Anissa Holmes

Educational Method: Self Study

CE Hours: 1

Educational Type: Self Study

Course Date: January 25, 2023

AGD Code:

550 Practice Management and Human Resources

Verification Code: F100

Authorized Signature:

PARTICIPANTS:

Please retain this document for your records. Continuing Education Credits issued may not apply towards license renewal in all states/provinces. It is the responsibility of each participant to verify the requirements of his/her state/provincial licensing board(s) and to self-report their continuing education hours earned.

Keep this form for your records.

AGD Members: Delivering Wow will submit attendance verification to the AGD on your behalf.
Please allow at least 30 days for documentation of participation to be added to your transcript