AAFCS Certification Annual Reporting Form
Please review the Certification Procedures and complete this Annual
Reporting Form (ARF) or the interactive version here.
This form should include PDUs earned, but not reported in your current
cyle, and must be submitted and received no later than September 15th
of each year. Please print this form, write clearly or type and return
to: AAFCS Office of Certification, 400 N. Columbus Street, Suite 202,
Alexandria, VA 22314 Phone: 703-706-4600 Fax: 703-706-4663
PDU Activity Dates
(mm/dd/yyyy) | PDU Activity Title and Sponsor
(Do not use acronyms) | PDU
Earned |
From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | | From: ____/____/_____
To: ____/____/______
| | |
|
I attest this information is true.
_____________________________________________ ________
/ ________ / __________
Signature Date
Office of Certification
American Association of Family and Consumer Sciences, 400 N. Columbus
Street, Suite 202, Alexandria, VA 22314
Please retain a copy of this form for your records. |