In-House CLEE Course Completion
Name of the Course
*
POST #
*
Date Started
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Date Ended
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Instructor's Name
*
Instructor's POST#
*
Number of Attendees
*
Attendee list
*
Upload Sign-in Sheet(s)
*
Browse Files
Drag and drop files here
Choose a file
Any name on a sign-in sheet that cannot be read WILL NOT get credit.
Cancel
of
Person Submitting Form
*
First Name
Last Name
Email
*
example@example.com
Daytime Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
Official Use Only
_______________________________________________________________________________________________
Status
Notes
Reviewed By
Review Date
Submit
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