Application for Program to Qualify for CE Status

Please fill out the form below to apply for CE status for your program.

Date of Program*

Title of Program: *

Location where program will be held: *

Brief Description of Program: *

Is this program open to the general public?: *

yes

Name of Speaker:

Credentials of Speaker:

Total Program Time (excluding breaks over 15 minutes): *

if lab or hands-on activities, for how long?:

Target Audience: *

Contact Person's Information

Company/Clinic:

Contact Name: *

Contact Phone:

Contact Email: *

Street Address:

City:

State:

Zipcode:

I would like this information printed in the Techniques monthly newsletter: *

yes

Guidelines for Proof of Attendance

Any Certified Veterinary Technician (CVT) who attends a CE program must obtain “proof of attendance.” This is up to the program sponsor to provide. This can be any type of certificate (of any size) that contains the following information:

attendee’s name (it can either be printed ahead of time or hand written in)
date of presentation
time (e.g., 9-10 AM or 1 hour); we award 1 CE credit for each hour of lecture.
title / topic (technical or supportive depends on the topic and the audience)
presenter and credentials.
where held / group putting on the event – in case we have any follow up questions. This can be the hospital where it was held or a sponsoring company.
signature – of either the presenter or the office manager / veterinarian etc.

The program sponsor does not have to let CACVT know who attended as long as certificates of attendance are provided for each CVT.

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Colorado Association of Certified Veterinary Technicians

Application for Program to Qualify for CE Status