Home » HCIN PINRA Form
Please fill out this form BEFORE starting the course.
This form will be used if a CMP Participant plans to attend another organization’s workshop, conference, formal in- service training or activity. The RID Approved Sponsor will determine if the activity is appropriate for CEUs.
Each workshop through HCIN must be processed individually.
I certify that this activity represents a valid and verifiable Continuing Education Experience that exceeds routine employment responsibilities.
By typing your name below you are electronically signing your name in agreement to the above statement and information given. This "signature" will be treated as an actual signature.
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