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Continuing Education Documentation Form
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This form has been modified since it was saved. Please review all fields before submitting.
Purpose of this Form
All CCL Staff must submit this completed for each continuing education session and/or workshop she/he has attended. This includes County Orientation, CCL New Employee Orientation, Respectful Workplace, conferences, education sessions or workshops conducted by CCL, the County or an off-site provider.
The information from this form is entered into the CCL Continuing Education database. From the dataset, a monthly report is generated and submitted to CC Human Resources Department and a quarterly report which is submitted to CCL Department heads. These reports are used for several purposes:
- To meet the continuing education documentation requirement for the Library Code this is required so that the Library can receive State Aid.
- To provide documentation for the County of Chester’s Performance Appraisal process.
Please list the name of the course exactly as it appears in the catalog, brochure, etc.
Library / Department
Dates Attended Start Date
Dates Attended End Date
Name of Course / Workshop / Education Session
Number of Hours for Course / Workshop / Education Session
If you work more than 20 hours per week (more than 1,000 hours per year), please provide a brief report (2 - 3 sentences) about what you learned in this continuing education opportunity.
Who conducted the Course / Workshop / Education Session?
-- Select One --
Chester County Library
County of Chester
Please name Professional Organization / Details
If other, please specify.
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