Form Ceu-4 - Attendance Record For Continuing Education - 2003
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1DEPARTMENT OF TREASURY
DIVISION OF TAXATION, PROPERTY ADMINISTRATION
ASSESSOR CERTIFICATION RENEWAL PROGRAM
ATTENDANCE RECORD FOR CONTINUING EDUCATION
Sponsor Name: _____________________________________________________________________
Course Name: ________________________________________ Date: _______________________
Course Number: _______________________________________Session: A.M. / P.M. (Circle one)
______Print Full Name____________________ _____Signature
Certification #
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PRINT CLEARLY
Certification # is not mandatory for proof of attendance at this time.
Please know your certification number for future Continuing Education and Division record keeping purposes.
If you do not know your certification number, contact us at (609) 292-7813 or visit our website.
CEU-4 (April 2003)
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