Candidites Name .............. | Candidates Family Name.......................... | Candidates Personal Registration Number............ |
Date of Initial Review | Date/Month/Year |
Date of Review after certificate has been issued | Date/Month/Year |
Date of annual review | Date/Month/Year |
Date of Review after certificate has been re issued after 3 years | Date/Month/Year |
The ACI Global CPD Activities are catogorised under five main categories:
The following information will be required for each category:
The continual professional development activities should take into account the following.
Date: | Duration in hrs. |
Code of activity. | Detailed description of activity: |
Organisations Name: | Organisations Address: |
Organisations Contact Person: | Organisations Contact Phone Number and Email Address: |
Sponsoring Organisations Name: | Sponsoring Organisations Address: |
Sponsoring Organisations Contact Person: | Sponsoring Organisations Contact Phone Number and Email Address: |
Self Assessment: | SWOT Analysis: |
Mentors Review: | |
Mentors Signature: | Date: |
Candidates Comment: | |
Candidates Signature: | Date: |
Date: | Duration in hrs. |
Code of activity. | Detailed description of activity: |
Organisations Name: | Organisations Address: |
Organisations Contact Person: | Organisations Contact Phone Number and Email Address: |
Self Assessment: | SWOT Analysis: |
Mentors Review: | |
Mentors Signature: | Date: |
Candidates Comment: | |
Candidates Signature: | Date: |
Date: | Duration in hrs. |
Code of activity. | Detailed description of activity: |
Organisations Name: | Organisations Address: |
Organisations Contact Person: | Organisations Contact Phone Number and Email Address: |
Self Assessment: | SWOT Analysis: |
Mentors Review: | |
Mentors Signature: | Date: |
Candidates Comment: | |
Candidates Signature: | Date: |
Client in Confidence: This document and all information contained within is "Client in Confidence" and is covered by ACI Global's Privacy and Personal Data Polices View
For any questions relating to this Commitment or any privacy related enquiries please contact the Managing Director on +612 8003 4997 or Contact Us
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