HTML Preview Training Class Sign In Sheet page number 1.
P-77
[4/1/2013]
CONTINUING EDUCATION TRAINING (CET) CLASS
SIGN-IN ATTENDANCE SHEET
HDOA - Pesticides
Branch
Date:
Class
No:
Title:
Approved
Categories:
No.
of
Credits
Approved:
Sponsor
/
Contact
Person:
Instructor(s):
Time
Started:
Location:
[PARTICIPANTS MUST SIGN CORRESPONDING SIGN-OUT SHEET AT END OF SESSION TO RECEIVE CREDITS]
Time In Print Name
Company
Certification No.
and Categories
Expiration
Date
Signature