Online Survey Software | Qualtrics Survey Solutions

Certification of Makeup CPD Credits
Please only submit one event per form

Your Name

DU ID#

Email Address

Program Title - Please only submit one event per form

Program Date (mm/dd/yyyy) (if known)

Please State 3 Specific Takeaways from Each Program

I certify that I have viewed the following video(s), which qualify for Career & Professional Development Credit (“CPD Credit”) -
Select 'Yes' to Agree to the Above Statement

Yes