320x Filetype XLSX File size 0.03 MB Source: scdhec.gov
South Carolina Department of Health and Environmental Control
Attendance Sheet Page: ____ of ____
For SUBRECIPIENT Use Only
Title of Class/Conference:
Start Date: End Date: Start Time: End Time:
Total Contact Hours: Total CEU's:
Instructor(s) and Phone Numbers:
Location:
City / State Building Room Number
Print Full Name Print Company/Business Name Business Email Signature
Note: It is the Subrecipient's Responsibility to ensure the appropriate audience is in attendance and is allowable per all State and Federal regulations.
DHEC 0354 Subrecipient Only (10/2019)
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