CE Request Form 2023

World Conference 2023 CE Evaluation Form

The survey will take approximately 7 minutes to complete. The American Association of Christian Counselors (AACC) offers some psychologists, licensed mental health professionals, and play therapists Continuing Education (CE) credit due for good standing with certain states and a limited number of professional organizations. It remains the responsibility of each participant to be aware of state licensure requirements. Participants should check their state and/or local regulations regarding required continuing education hours. If your state requires a specific CE letter, please contact the AACC CE department.

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Class Select(Required)

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CE Credit Amount(Required)

Name(Required)

First Last

Email(Required)

State that you are seeking CE credit?(Required)

Discipline(Required)

Certification Type 1(Required)

Certification Type 2(Required)

Certification Type 3(Required)

Certification Type 4(Required)

Certification Type 5(Required)

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Certification Psychologist

Certification Type 6(Required)

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Certification Psychiatrist

Certification Type 7(Required)

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Certification Nurse

Certification Type 8(Required)

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Certification NAADAC Chem

Certification Type 9(Required)

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Certification Oregon

Certification Type 10(Required)

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Certification Colorado

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Certification Connecticut LMFT

Certification Type 11(Required)

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Certification NAADAC Alabama

Certification Type 12(Required)

Certification Type 13(Required)

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Certification Delaware LMFT

Certification Type 14(Required)

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Certification Illinois LMFT

Certification Type 15(Required)

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Certification Illinois LPC

Certification Type 16(Required)

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Certification Iowa LMFT

Certification Type 17(Required)

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Certification Iowa LPC

Certification Type 18(Required)

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Certification New Jersey LMFT

Certification Type 19(Required)

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Certification New Jersey LCSW

Certification Type 20(Required)

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Certification New Jersey LPC

Certification Type 21(Required)

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Certification Pennsylvania LMFT

Certification Type 22(Required)

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Certification Pennsylvania LCSW

Certification Type 23(Required)

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Certification Pennsylvania LPC

Certification Type 24(Required)

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Certification Oklahoma LMFT

Certification Type 25(Required)

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Certification Oklahoma LPC

Certification Type 26(Required)

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Certification Rhode Island LMFT

Certification Type 27(Required)

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Certification Rhode Island LPC

Certification Type 28(Required)

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Certification Vermont LMFT

Certification Type 29(Required)

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Certification Vermont LCWS

Certification Type 30(Required)

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Certification Vermont LPC

License Number(Required)

If you are not License use 0000

Session Presenter(Required)

Do Not Edit

How much did you learn as a result of this CE program?(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

How useful was the content of this CE program for your practice or other professional development?(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Presenter made educational goals clear at the start.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Content was applicable to my practice/ministry.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Presenter is knowledgeable in his/her area.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Length of session was adequate.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Presenter made efficient use of time.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Presentation was professional and thorough.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Content matched program advertising.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Presenter integrated content with spiritual principles.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Teaching aids/audiovisuals were used effectively.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Content was presented clearly and effectively.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective One

Do Not Edit

Presenter adequately met learning objective #1.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Two

Do Not Edit

Presenter adequately met learning objective #2.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Three

Do Not Edit

Presenter adequately met learning objective #3.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Four

Do Not Edit

Presenter adequately met learning objective #4.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Five

Do Not Edit

Presenter adequately met learning objective #5.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Six

Do Not Edit

Presenter adequately met learning objective #6.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Seven

Do Not Edit

Presenter adequately met learning objective #7.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Eight

Do Not Edit

Presenter adequately met learning objective #8.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Nine

Do Not Edit

Presenter adequately met learning objective #9.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Session Learning Objective Ten

Do Not Edit

Presenter adequately met learning objective #10.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

I recommend presenter for future events(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Accessibility(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Visual Support(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

Auditory Support(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

I gained more specific ideas that I can implement in my area of practice.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

I learned a new approach to utilize in my practice.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

This workshop gave me skills that will help me do a better job.(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

I do not see the impact of this presentation on my work(Required)

Mark the number that best describes your experience: 5 = A Great Deal 4= 3 = 2 = 1 = Very Little

I also see the value of this presentation in the following ways.(Required)

I was able to update my skills.(Required)

True

False

I acquired new and/or advanced my skills(Required)

True

False

I have better knowledge to base my decisions and actions on in practice(Required)

True

False

I agree with the views presented.(Required)

True

False

By attending this presentation, I believe I have also accomplished the following.(Required)

As a result of this CE program I learned(Required)

An extensive amount

A considerable amount

A moderate amount

A minimal amount

Nothing

I attest that I attended this worshop in its entirety and in person.(Required)

True

False

Additional Comments/Suggestions(Required)

Print your certificate after successful form submission.

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