ATTENDANCE ROSTER FOR ONGOING ... - State of Michigan



|DATE |CE APPROVAL NUMBER |

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|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)

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Instructor Coordinator’s Signature

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