Live Webinar Certificates

To obtain your certificates, complete the form below. Read the accompanying statement and click the appropriate box. You will then be able to print your CEC/CEU certificate.

First Name
Last Name
Address
City, State Zip	,
Email
Phone
I attended the following virtual classroom program:
Course
Completion Code	Code given by the Instructor

EVALUATION

Choose the response that BEST reflects your feelings about the program you just completed:

5: Agree Strongly
4: Agree
3: No Opinion
2: Disagree
1: Disagree Strongly

	1	2	3	4	5
Program was well organized.
Program was well designed.
Program covered what I expected.
Program materials were easy to follow.
Instructor was knowledgeable.
Instructor was an interesting speaker.
Instructor's pace was appropriate.
I enjoyed this course.
I would recommend this to a friend.

Comments:

We value your opinion! Feel free to e-mail our Executive Director, Guy Andrews, with your feedback or suggestions at: guy@exerciseetc.com.

Please read and agree to the following.
STATEMENT: I certify that I attended the Virtual Classroom Program listed above and that this form will serve as the record of my attendance. I understand that while Exercise ETC will keep a record of my attendance in the event of an audit, that it is my responsibility to save my Continuing Education Certificate and that if lost or misplaced there will be a $5.00 fee to replace the certificate. I understand that Exercise ETC will e-mail my CE Certificate to me within 5 business days of their receipt of this form.

I agree to this statement.
I do not agree to this statement.

Type your name: