Event Attendance Form
This form is date and time-stamped and is being used to take attendance at our live virtual events.

COSEM gives out PDHs and CEUs at its longer events, including our conference, special workshops, and special chapter events. You'll receive an Evidence of Completion document within 2 weeks of the event to the email collected in this form.

Also fill out this form if you are a COSEM professional member working to earn (or think you might in the future) 24 PD hours, 24 CEUs, or 1 graduate credit through attending and/or watching recordings of our membership events. Learn more at educatingmindfully.org/credits.

COSEM is an approved PD provider with ISBE.net and an approved CEU provider for social workers with IDFPR.com.
Email *
First Name *
Last Name *
Length Attended *
Round to nearest quarter of an hour that you attended this event; for example, enter 1.25.
Event Type *
Clock Hour Type *
Feedback/Notes
If you found this event beneficial, consider leaving a testimonial that we can pass on the the presenter. Share any feedback positive or negative regarding this event to help us select and improve future events. Include here also any notes or messages; for instance, the reason you filled out the form late, etc.
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