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Home
About
Who We Are
Association Staff
Board of Directors
Events
Calendar
Cultural Competency Training
Q2 Assisted Living Training – A Dementia-Friendly Environment
2024 Fall Conference and Trade Show
2024 Speaker Proposal
Find Care
For Members
Business Partner Directory
Join Us
Facility Members
Business Partners
Contact
2022 Fall Convention Attestation Form
Today's Date
(Required)
MM slash DD slash YYYY
Total CEU Hours Available for the 2022 Nevada Health Care Association Fall Convention 12 CEUs total (6 CEUs for Wednesday, October 26th & 6 CEUs Thursday, October 27th)
I am requesting:
(Required)
Select your CEU Hours
1 CEU
2 CEU
3 CEU
4 CEU
5 CEU
6 CEU
7 CEU
8 CEU
9 CEU
10 CEU
11 CEU
12 CEU
(If you did not attend both days, please do not request the full CEU amount)
I want my CEU request reported to:
(Required)
NAB
BELTCA
Other
List other NV State Boards
(Required)
NAB ID
BELTCA ID
Attestation
(Required)
By checking the attestation box below and digitally signing your name, you attest that all information entered is accurate and that you attended the event in-person for the number of CEU hours requested.
I attest
Your Name
(Required)
First
Last
Your Email
(Required)
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