Q&A Verification

You must submit at least 6 Q&A hours to complete your requirements to receive NCBTMB credit. You must complete this form immediately after each Q&A you attend.

Date of Q&A *

Name *

First

Last

Email *

What was your question, comment, celebration or other contribution during this Q&A? *

Please write at least 2 take-aways from today's meeting *

Email