Directions:  Please submit this form within 14 days after the activity concludes. You will receive a confirmation email that you can print for your records. If you don't have all the post-activity items ready, you can use the SAVE DRAFT button at the bottom. This will allow you to come back later and add items to this form. If you SUBMIT the form, you won't be able to change the entries, but you can always submit a new form if you need to add something to your report. We will combine your multiple submission information in our files.

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Make a best guess if you don't have exact data.
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Please indicate how you will be sending registration forms and summaries to UWCNE.
Please write "no-show" next to names of individuals who did not complete requirements and did not earn contact hours. 10 MB maximum size.
Files must be less than 9.77 MB.
Allowed file types: gif jpg png txt rtf pdf doc docx xls xlsx tar zip.
Please upload a summary of the evaluation responses. You may email this at a later date if necessary. 10 MB maximum size.
Files must be less than 9.77 MB.
Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx xls xlsx sit tar zip.
If you have more than one item, please combine into a single document before uploading. 10MB maximum size. Keep originals in your files. If it's easier, you can list the names and email addresses of individuals that requested contact hour certificates in the comments area at the bottom of this form.
Files must be less than 9.77 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx xls xlsx sit tar zip.
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Budgets can change during the lifetime of an activity. Please submit your budget information again. If you do not have a budget number, please provide your billing address information in the comments area below.
Certificate Fee x #of Participants