CPR AY20-21:                                                Academic Requirement Submission
Enter ONE activity per form submission.  Please reference the site specific (TEC or Grady) AY19-20 CPR Requirements if you have questions. You may also contact Alan Wilson for your questions and technical support.
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First Name *
Last Name *
Emory Employee ID# *
Your EE# can be found on your paycheck stub. Please retain this number for future reference.
Date of Participation/Event
If activity is longer than one day (such as a QI Project), you are not required to enter a date.
MM
/
DD
/
YYYY
What type of submission is this? *
Please make sure to review the CPR guidelines before selecting from the options below
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