Vaccination Page 14

End of Course Evaluation

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Evaluation Form

A Vaccination Conversation (2 hours)* Evaluation Form

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First Name

Last Name

Your Email Address

Additional Email

If you would like us to send a copy of your certificate to your director or other.

2 Clock Hours of Early Childhood Education Training

Required Assessments in this Course:

All course text must be read in addition to adequately submitting the following assignments:

Discussion: Vaccine Importance (Page 3)
Vaccine Myths (Page 5)
Vaccine Tracking (Page 8)
Immunization Status (Page 10)
End of Course Quiz (Page 13)

Course Survey

This survey is provided for you to evaluate your experience with the course. Rating the course is optional. If you wish to scroll through this section and submit this form without filling this out, you may do so.

Evaluate the following statements.

1. Content provided matched the training description.

2. Examples and illustrations used in the training were relevant to practice.

3. Content and methods of instruction honored my learning style and culture.

4. Online Educator clearly and completely addressed questions.

5. Training platform was conducive to learning.

6. As a result of training, my knowledge about the topic is enhanced.

7. As a result of training, I can think of way(s) to enhance my work with children and/or families.

8. I can apply this information to the diversity of families I serve.

9. I was invested in learning from this training.

10. I would certainly recommend this training to my colleagues.

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11. What parts of the training worked best for you?

12. What changes would you suggest to us?

Additional Comments

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Annual In-Service Training

Please provide us with your state, and any State registry ID number, and if we are able to record your completed training with your state, we will. In some cases, for annual state credit, you will need to submit the certificate to the appropriate registry and they may or may not award annual credit.

What state do you work in?

Do you have a State Registry number? - This is optional.

Example: Washington STARS ID number or Illinois Registry Member ID.

Providing a State Registry number to us does not guarantee that your state will approve the training for annual continuing education credit.

States which Our Courses Have Been Pre-Approved

Washington State MERIT STARS
Illinois - Organization Approval Number B102312
Ohio (Entity OIN # 21084413)
North Carolina - Organization approval
Utah - Organization approval for Online Career Ladder Courses
Vermont - Organization Approval

If your state does not have a pre-approval system, then you should submit the certificate according to your states procedures.

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PLEASE READ THE NOTE BELOW

Certificate: If your assignments were adequately completed, you should expect that the turnaround time will be less than 24 hours from the time which you submit the evaluation form until you receive your certificate by email.

In most cases, certificates are emailed to you within a few hours of when the evaluation form is submitted during day time hours.

Be sure to check your junk mail or spam folder and if you do not receive your certificate within 24 hours, then the email is lost in cyberspace and we will not know that you did not receive it. You will need to provide us with a different email address, such as a new Yahoo email account, to receive your certificate.

Contact Information

Course Navigation Menu

1. Course Agenda
2. Why is Vaccination Important?
3. Discussion: Vaccine Importance (1/5)
4. Vaccine Myths
5. Vaccine Myths (2/5)

6. Vaccine Preventable Diseases
7. Vaccine Tracking
8. Vaccine Tracking (3/5)
9. Unvaccinated Children
10. Immunization Status (4/5)

11. Outbreak Reporting
12. Seasonal Flu Vaccine
13. End of Course Quiz (5/5)
14. Course Evaluation Form
Parking Lot

A Vaccination Conversation

End of Course Evaluation

Page 14

Evaluation Form

A Vaccination Conversation (2 hours)* Evaluation Form

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Page 2

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PLEASE READ THE NOTE BELOW

Course Navigation Menu

Successful Solutions Training in Child Development

Times shown are Pacific Standard Time. If you are in Central or Eastern Time, you will need to adjust the time accordingly.

Copyright 2018. Successful Solutions Professional Development LLC. All Rights Reserved.

A Vaccination Conversation

End of Course Evaluation

Page 14

Evaluation Form

A Vaccination Conversation (2 hours)* Evaluation Form

Page 1

Page 2

Page 3

Page 4

PLEASE READ THE NOTE BELOW

Course Navigation Menu

Successful Solutions Training in Child Development

Times shown are Pacific Standard Time. If you are in Central or Eastern Time, you will need to adjust the time accordingly. ​

Copyright 2018. Successful Solutions Professional Development LLC. All Rights Reserved.

Times shown are Pacific Standard Time. If you are in Central or Eastern Time, you will need to adjust the time accordingly.