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Certification Commission Policy and Procedure Manual

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APPENDIX 3 A cont’d<br />

ACPE CERTIFICATION COMMISSION<br />

SAMPLE 1<br />

REPORT ON CONSULTATION<br />

MEETING DATE:<br />

REPORT DATE:<br />

CONSULTEE:<br />

ADDRESS:<br />

TRAINING CENTER:<br />

SUPERVISOR:<br />

REGION:<br />

PURPOSE OF CONSULTATION:<br />

Summary <strong>and</strong> Evaluation of Materials Presented:<br />

Summary <strong>and</strong> Evaluation of Consultation Process:<br />

1 Sample adapted from form used by ACPE Eastern Region; may be used for Supervisory Readiness Consultation<br />

<strong>and</strong> other types of consultation.<br />

11

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