[Firm Name]
CPE REGISTRATION
A. Complete prior to attending course:
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Complete title:
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Course number:
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Course acronym:
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Course Cost:
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Sponsor:
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(If other than AICPA or state society, attach brochure and registration form.)
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Catalog page number
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Location:
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Date(s):
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Travel Arrangements
If travel arrangements are required, please specify details and/or attach information provided by course sponsor.
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Approved by:
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Date:
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Authorized by:
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Date:
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Registered by:
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Date:
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B. Complete after attending course:
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Excellent
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Poor
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Course Evaluation
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5
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4
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3
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2
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1
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Instructor
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Course Material
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Course Instructor:
CPE credit hours:
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Accounting and auditing
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Tax
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Other
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Total
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Attach CPE Accreditation from course sponsor.
Comments:
Signature:
