| |
|
|
|
|
|
|
|
| [Firm
Name] |
| CONTINUING
PROFESSIONAL EDUCATION |
| INPUT DATA REPORT |
| |
| |
| Employee Name: |
|
|
|
|
Date: |
|
| |
| |
Office: |
|
|
|
|
|
| |
| |
| 1. This form is to be
completed after you
have attended any meeting/course which you |
| will
receive credit for CPE hours with the exception of Firm sponsored CPE. You will be |
| credited
for in house seminars from the attendance list at each session. |
|
| |
| 2. Copies of the course registration,
certifications and/or information regarding the course must |
| be
attached. |
|
| |
| 3. Forward the completed form, with attached
back-up to the Administration Office whenever |
| CPE
hours are incurred. |
|
| |
| |
| CPE
DATA |
|
| |
| Conducting
Organization: |
|
|
|
|
|
|
| |
| Course Location: |
|
|
|
|
|
|
| |
| |
Instructor: |
|
|
|
|
|
|
| |
| Course Number: |
|
|
|
|
|
|
| |
| Course Title: |
|
|
|
|
|
|
| |
| Date of Course: From: |
|
To: |
|
Type of Course: |
|
| |
| |
Course Fee: |
|
|
|
CPE Hours: |
|
| |
| Course
Topic Code: |
|
| |
| AA |
Accounting & Auditing |
|
| GA |
Government Accounting
& Auditing |
|
| AS |
Advisory Services |
|
| MG |
Firm Management |
|
| OT |
Other |
|
| PD |
Personal Development |
|
| TX |
Taxes |
|
| |
| |
|
|
|
|
|
|
|
|
