CONTINUING EDUCATION
EVENT EVALUATION FORM

This form must be completed by event attendees and submitted to the district CE coordinator in order to receive CEUs for this event.

DATE OF EVENT __________________________

TITLE OF EVENT_________________________________________

4 C Category _______________

SPONSORING AGENCY _______________________________________________________________

LEARNING OUTCOMES:





WHAT SPECIFIC ACTIVITIES HELPED YOU ATTAIN THE LEARNING OUTCOMES?




HOW WILL YOU APPLY WHAT YOU LEARNED TO YOUR OWN LIFE AND/OR MINISTRY?




OVERALL RATING: 1 2 3 4 5

ADDITIONAL COMMENTS:



_________________________________
(Signature)

Revised 4/17/06