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CREDENTIALED CLINICAL INSTRUCTOR PROGRAM (CCIP)Participant DossierEach participant must complete and submit this form to receive CEU credit and the CCIP credential. Participant Name: DOB: APT AID
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01
Gather all the required information and documents needed to fill out the participant form.
02
Begin by providing basic personal information of the participant such as their full name, date of birth, and gender.
03
Proceed to complete the contact information section by entering the participant's address, phone number, and email address.
04
If applicable, provide any relevant medical or health information that may be required for the participant.
05
Fill out the educational background or qualifications of the participant if needed.
06
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08
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Who needs each participant must complete?

01
Each participant who is required to be a part of a specific event, program, or activity needs to complete the form.
02
It could be individuals applying for scholarships, students applying for courses, athletes registering for competitions, employees participating in training programs, etc.

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Each participant must complete a detailed questionnaire.
All participants in the program are required to file the completed questionnaire.
Participants must carefully read and answer all questions in the questionnaire accurately.
The purpose of the questionnaire is to gather important information about each participant's background and experience.
Participants must report personal information, education history, work experience, and other relevant details.
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