Audioconference Continuing Education Request Form

This form is to be used to request continuing education credits for attending a BNA audioconference.

Required field

	First Name:
	Last Name:
	Organization:
	Address:
	City:
	State/Province:
	Zip/Postal Code:
	Phone:
	Fax Number:
	E-mail:

Audioconference Attended:
<Please Select A Conference> Administering Creditor Wage Garnishments–What Every Employer Needs to Know [08/06/2008] Conducting HR Audits in California to Reduce Employment Practices Liability Risks [08/21/2008] Fundamentals and Best Practices for Handling Multi-State Taxation [08/14/2008] HR Metrics: A Core Competency [08/28/2008]

Please choose one of the following credit types:

CPE - Evaluation form below must be completed.
CLE - Must provide Bar #(s) and Bar State(s) in spaces below.
CPE & CLE - Must complete evaluation below and provide Bar #(s) and Bar State(s).
APA - Evaluation form below must be completed.
HRCI- Evaluation form below must be completed.

Bar #	State
Bar #	State
Bar #	State

NOTE: CLE credit for audioconferences is not authorized in the following states: DE, IN, PA, KS, OH. Also, if you are requesting CLE only, you do not need to complete the evaluation below, but your additional comments at the end are appreciated. Please scroll down to submit your request at the bottom of this form.

Evaluation Form

OVERALL COMMENTS