Iowa State University Extension

Polk County Extension Master Gardeners

Individual Continuing Education Time Log

Please submit your continuing education hours on a regular basis.
You need a total of 6 hours submitted by December 31st for certification the next year.

Please complete one form for each Continuing Education event.

First Name: Last Name:

Date of Educational Event: Month Day

Class Title or Subject:

Presenter's / Teacher's Name:

Sponsor:

Number of Hours (report hours by decimal, eg: 4 1/2 hours = 4.5):

Contact Mary Farlow for questions about reporting and recording hours at mfarlow@iastate.edu

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