Course Syllabus/Agenda – Annual In-Service Training
For Annual In-Service Training, staff will find topics that relate to the individuals with whom they work. Include ALL required information. PRINT legibly unless a signature is required. Submit this Course Syllabus/Agenda with your completed Certificate to the office to show proof of training and keep a copy for your records.
Staff Name
Staff Signature
Course Title

Type of Training

(Classroom, Conference, Presentation, CD, Video, Webinar, Provider Meeting)
Entity Sponsoring Training

(Source of Training - APD, TCC, Delmarva, ARC, ASHI, NIH, AHCA, college name, etc)
Length of Training
Course Syllabus/Agenda

Use the Course Syllabus/Agenda provided with the course whenever possible. If no official syllabus or agenda is provided, write the main topics (at least 3-5) of the course with sub-topics (2 for each main topic).