CEU Submission

Please Note: You will only be able to submit for Audiology CEU credits one time. Please submit this form once you have attended all your sessions and acquired each session's CEU code. CEU forms must be submitted no later than Friday, November 12, 2021. CEU credits will be finalized and a confirmation email will be sent no later than January 10, 2022.

Name(Required)

First Last

Email(Required)

Please use the same email that you used to sign up for the FCOM 2021 Conference.

AAA Member Number(Required)

Session Codes(Required)

Please enter all of your attended session's CEU codes. (Enter one per line)

Evaluation

The overall speaker's effectiveness, meeting objectives and presentations(Required)

The speaker's use of examples and illustrations were:(Required)

The speakers presented material free of bias(Required)

Assessment

What concepts were new or better understood as a result of the sessions? (provide 2-3)(Required)

If the content is relative to your practice, what changes do you intend to make?(Required)

The content reinforced what I am already doing in my practice

The activity provided new knowledge and strategies that I can incorporate into my practice

I need more information before I can make changes

None

What will you do differently as a result of attending these sessions?(Required)

How will you apply what you learned as a result of these sessions?(Required)

CEU Submission

Evaluation

Assessment

Excellence is our Specialty