Continuing Education Form – The Four Stages of Imitation

Fields marked with an * are required

Please complete the form below to receive CEUs for your participation in the one-hour self-study course, The Four Stages of Imitation.

Once your information is submitted, you will receive a reply email from us in 4-8 weeks containing your certificate of completion. Thank you!

PARTICIPANT INFORMATION

Your pin is included inside your DVD case. If you purchased your DVD before 11/30/17, please enter "123456" and we will verify your purchase manually.

Or:

Only if you are NOT an ASHA member, please complete the field below which is most appropriate. 

If you are not an ASHA member or CCC holder, you must be licensed or credentialed to practice speech-language pathology (SLP) or audiology or preparing to practice to earn ASHA CEUs. 

 

 

Only if you are NOT an ASHA member, please complete the field here which is most appropriate.

LEARNING ASSESSMENT

Please feel free to reference your handout or the lecture while answering questions.

PROGRAM EVALUATION

Please rate the following statements from 1 to 5 using the guide below.

1 = Strongly Disagree
2 = Somewhat Disagree
3 = Unsure
4 = Mostly Agree
5 = Strongly Agree