Are you providing a CEU or know of opportunites coming up? Please fill out the form below.

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NMSRC CRCE Form A

Category I, Form A

New Mexico Society for Respiratory Care

Continuing Respiratory Care Education (CRCE) –Form A

Lecture/Activity Title: *

Date of Lecture/Activity: *

Time Frame (Example 8:30-9:30): *

Length (in hours and/or minutes): *

If there are other lectures in this program, are they being held at the same time? *

Yes

No

Speaker or Author of Enduring Materials (Include credentials as they relate to expertise on topic to be presented. Do NOT submit CV.): *

Learner Objectives (What do you expect participant to be able to do after lecture?): *

Content (Provide a description of topic(s) to be covered.): *

Evaluation Methods (Describe the methods used to measure how the objectives will be met. For example: pre and/or post tests, questionnaires, skill check-off sheet, etc.) ALL distance learning programs must have independently scored testing mechanism acces *

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