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ASHA CEU Form
Please fill out this form to receive your ASHA CEU credits for the Fifth International Meeting on Internet & Audiology and return to us no later than May 14th, 2021. Please note that Social networking sessions are not eligible for CEU.
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What is your name?
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Your answer
What is your email? (if we need to contact you with follow up questions about your CEUs)
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Your answer
What is your ASHA number?
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Your answer
What is your address (including city, state/country, and zip code)?
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Your answer
Which of the Internet&Audiology 2021 sessions did you attend on May 3rd (select all that apply)?
P1.1: Keynote (30 minutes)
P1.2: Keynote panel (40 minutes)
P1.3: Interactive Presentation Session ( (60 minutes))
Which of the Internet&Audiology 2021 sessions did you attend on May 4th (select all that apply)?
P2.1: Keynote (30 minutes)
P2.2: Keynote Panel (40 minutes)
P2.3: Clinical experience and telehealth panel ( (60 minutes))
Which of the Internet&Audiology 2021 sessions did you attend on May 5th (select all that apply)?
P3.1: Keynote (30 minutes)
P3.2: Keynote panel (40 minutes)
P3.3: Hearing aid industry panel (60 minutes)
Which of the Internet&Audiology 2021 sessions did you attend on May 6th (select all that apply)?
P4.1: Keynote (30 minutes)
P4.2: Keynote panel (40 minutes)
P4.3: Hot topics & Future directions (60 minutes)
Total minutes from all sessions attended
Your answer
Please divide the total minutes above by 30, round to the lower whole digit number and multiply by 0.05 to compute your estimated CEUs for the meeting. If your estimate does not agree with our records we will contact you to clarify.
Your answer
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