The Mtans Ceu Activity Report form is an important document that should be filled out for all continuing education activities attended. It provides pertinent information about the activity and serves as a record of attendance and certification. Whether you have recently attended a conference, workshop, or any other type of event related to continuing educational units (CEUs), it’s important to fill out this report accurately and completely in order to properly receive credit for your participation. The following post will provide an overview of the Mtans Ceu Activity Report Form, key details relevant to filling it out correctly, and helpful tips on creating accurate documentation.
| Question | Answer |
|---|---|
| Form Name | Mtans Ceu Activity Report Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 5S3, HALIFAX, CEUS, QUINPOOL |
MTANS CEU – ACTIVITY REPORT FORM PAGE 1
MTANS MEMBER NUMBER:
__________________________ to ____________________________
CYCLE START DATE (MM/DD/YYYY) CYCLE END DATE (MM/DD/YYYY)
Please PRINT
PLEASE PRINT
____________________________________________________
MEMBER SURNAME |
GIVEN NAME |
MAILLING ADDRESS: |
|
TITLE OF ACTIVITY
DATES
SUMMARY OF REPORTING DOCUMENTS
PRIMARY
HOURS
SECONDARY
HOURS
PLEASE COMPLETE THE SUMMARY ON “CEU ACTIVITY REPORT FORM PAGE TWO”
Revised: April, 2005
MTANS CEU ACTIVITY REPORT FORM PAGE TWO
TITLE OF ACTIVITY
DATES
SUMMARY OF REPORTING DOCUMENTS
PRIMARY
HOURS
SECONDARY
HOURS
TOTAL NUMBER OF HOURS PRIMARY ACTIVITY DIVIDED BY TWO = ____________________ CEUS
TOTAL NUMBER OF HOURS SECONDARY ACTIVITY DIVIDED BY THREE = _______________ CEUS
X________________________________________________ |
___________________________ |
MEMBER SIGNATURE |
DATE |
TOTAL NUMBER OF CEUS
DO NOT INCLUDE/ENCLOSE ANY SUPPORT DOCUMENTS AT THIS TIME
DELIVER NO LATER THAN THE FINAL DECEMBER 31ST OF YOUR TWO YEAR REPORTING CYCLE TO ONE OF THE FOLLOWING:
MASSAGE THERAPISTS’ ASSOCIATION OF NOVA SCOTIA |
IN PERSON: A.B. THOMPSON, (MTANS HEAD OFFICE) |
|
ATTENTION: CEU COMMITTEE |
|
ATTENTION: MTANS - CEU COMMITTEE |
P. O. BOX 9410, STATION A, |
|
SUITE 700, 6009 QUINPOOL ROAD |
HALIFAX, NOVA SCOTIA B3K 5S3 |
(902) |
HALIFAX, NOVA SCOTIA |
Revised: April, 2005