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Independent-Study Program ? Contact Hour Request Form Provided by the Midwest Center for Home, Hospice & Palliative Care Education Post-Traumatic Stress Disorder & End of Life Concerns (June 2013)
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How to fill out contact hour request form

How to fill out a contact hour request form:
01
Begin by gathering all the necessary information required for the form, such as your name, contact details, and the purpose of your request.
02
Carefully read the instructions provided on the form to understand the specific requirements and guidelines for filling it out.
03
Fill in the necessary personal information, including your name, address, phone number, and email address.
04
Indicate the purpose of your contact hour request, whether it's for professional development, continuing education, or any other relevant reason.
05
Specify the number of contact hours you are requesting and provide a detailed description of the activities or courses you completed to earn these hours.
06
If required, attach any supporting documents or certificates that validate your claim for the contact hours.
07
Review the form for any errors or missing information, and make sure all sections are properly completed.
08
Once you are satisfied with the accuracy of the information entered, sign and date the form.
09
Submit the completed contact hour request form to the appropriate authority or department to initiate the review and approval process.
Who needs a contact hour request form?
01
Professionals seeking to fulfill continuing education requirements or maintain professional certifications often need to submit a contact hour request form.
02
Teachers or educators looking to earn professional development credits or hours might need to complete and submit a contact hour request form.
03
Individuals participating in workshops, training programs, or conferences that offer contact hours may be required to fill out a contact hour request form to document their attendance and participation.
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What is contact hour request form?
Contact hour request form is a document used to request approval for additional contact hours for a specific course or program.
Who is required to file contact hour request form?
Instructors, trainers, or program coordinators are required to file contact hour request form.
How to fill out contact hour request form?
Contact hour request form can be filled out by providing necessary course details, contact hours requested, and justification for the additional hours.
What is the purpose of contact hour request form?
The purpose of contact hour request form is to obtain approval for additional contact hours for a course or program.
What information must be reported on contact hour request form?
Information such as course title, course description, current contact hours, requested additional contact hours, and justification must be reported on contact hour request form.
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