Ceu Reporting Form

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CEU Reporting Form

I, Matthew Kennedy hereby certify that I have read the CEU articles in The
College Standard and have completed the required responses to the CEU
questions.
Name: Matthew Kennedy

Registration Number 823-415-435

Category A Activities
Activity: Workshop about advanced myofascial techniques
Code: AAW
Competency /
Modality Code: MMR
Number of
CEUs: 1.5

Activity: Reading research studies


Code: ABA
Competency/
Modality code: COL
Number of CEUs: 3

Total Category A CEUs: 4.5 (minimum 20 required)


Category B Activities
Activity: 9 Pre selected CEU activities
Code: ABA
Modality Code: COL
Number of
CEUs: 4.5

Total Category B CEUs: None


Total Category A CEUs: 9
Total Category A and B CEUs (minimum 30 required) 9
I hereby certify that the information on this form is accurate and true.

Matthew Kennedy
Signed this 29th day of November 2014 at Humber College, Toronto, ONT.

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