Chelsea

Course Registration

Thank you for attending this approved continuing education course conducted presented by Chelsea Building Products. Please complete the form below to ensure you receive credit for attending this course.

Course Name:
Course Date:
Course Instructor:
First Name:
Last Name:
Title:
Email Address
Company Name:
Company Address:
City
State/Province
Zip/Postal Code
Company Phone

If you wish to receive Continuing Education Credits for attending this presentation you MUST provide your membership identification number.

Membership ID (for C.E.U. Credits):
Were the course’s stated Learning Objectives and Outcomes met?
Please explain:
Was the course content relevant and did it contribute to the achievement of the learning?
Please explain:
Was the time allotted to the course appropriate?
Please explain:
On a scale of 1-5, where 5 is best, please rate your instructor.
Please explain: