ATTENDANCE ROSTER FOR ONGOING ... - State of Michigan
|DATE |CE APPROVAL NUMBER |
| | |
|Location of Course: | |
| | |MFR |EMT |AEMT |Paramedic |
|CE Category: | |Topic: | |( In Person Class |( Virtual Class |
| |Name (please print legibly) |License Level |License No. |Signature |
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_____________________________________
Instructor’s Name (Printed)
_____________________________________
Instructor Coordinator’s Signature
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