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Class Attendance Roster EDUCATION USE ONLY: <br /> laa-1 t Course Code: <br /> Class Title: Date: CE Authorizer <br /> Class Category:LJMeeting ✓ Competency General Class Certification OProduct CE sent(date) <br /> Course Length: CE: DYes ®No Type: Is the class required? ®No ❑Yes <br /> Instructor(s): Contact phone(s)#: <br /> Objective I Class Outline: <br /> Objective 2) <br /> Objective 3) <br /> *Objectives and Outline required.You may attach objectives and class outline to the roster. <br /> Printed Name Signature Dept/Cost Ctr Employee ID# Required For CE class: Lic. <br /> Last First license# Type <br /> 2 i c <br /> 3 W oN YAA -& E N 022 MQ1 <br /> 4P <br /> i 6n vJ f s k 0:6 �w6rvg`o <br /> T5 <br /> 7 W 1A ILI Ir I OQ s3 . <br /> 8 c� C G N <br /> Z129 PF JL <br /> la L <br /> 11 1�1 L t�(Z' Z'00'0 <br /> t iV r rtl� V <br /> Learner Feedback: Instructor must ask the question: "Did the material and presentation meet the objectives?" ✓ YES ❑NO <br /> Comments: <br /> Revised EDU 10/2010 <br />