In-Service Training Record Form (Page 2 of 2) in pdf

In-Service Training Record Form Page 2

IN-SERVICE TRAINING RECORD

School Readiness Program

Employee Name:

Fiscal Year: July 1, 20_ _ through June 30, 20_ _

Licensure or Registration Year: ______________________

A new log is required for center-based and public/non-public school programs each fiscal year (July 1-June 30), and for family child care home and informal

provider programs each licensure or registration year, for the purposes of documenting annual in-service training. Copies of supporting documents

(e.g., certificates, training transcripts, diplomas, agendas) must be attached. Additional copies of this log may be printed as needed.

NOTE: Supporting documentation is not required for state approved courses taken as in-service training. The signature of the trainer is sufficient to document course

attendance.

# Of Hrs

Signature of Trainer or Signature of

Date

Subject

Agency and Trainer

(or CEU)

Director/Owner/Operator

OEL-SR-6207, In-service Training Record – School Readiness Program (October 2016) Rule 6M-4.620, F.A.C.

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