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Massachusetts Association of Public Health Nurses


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Application Forms for Nursing CEUs 

New: BORN provides for 1 CEU per 60 minutes of instruction

A complete application includes Learning Objectives Form, Application Form, and Evaluation Form. 

Disclosure and completed Evaluations should be scanned and emailed to after the program. 

Learning Objectives and Guidelines 2021.doc [Recommend 1 Learning Objective per hour of instruction]

Application for Contact Hours / CEUs 2022 

Evaluation Form Template 2021.doc

MAPHN CEU 2021 Blank educational objectives grid for contact hours.doc

MAPHN 2021 CEU presenter disclosure.doc

Blank MAPHN CE Sign In Sheet 2020 (if a virtual program: please document the log in names)

NOTE: CPR courses cannot be applied as CE. Initial certification of ACLS and PALS may be applied, but not re-certification. As of 5/14/2021, all documents must be submitted electronically  to Sign in Log (Chat sign in from ZOOM is acceptable)

MAPHN Policies/Documents

MAPHN Policies.docx

 Reimbursement Form (Fillable) and Expenses Paid Policy.docx  and Travel Agreement MAPHN.docx

Professional Development Sponsorship Agreement 2015.pdf

Funding Policy for Professional Development 2015.pdf

Meeting Minutes Form.pdf

MAPHN Election Nominating Policy 2016-2017.docx

final MAPHN brochure.pdf

Consent To Serve.docx

Dues/Renewal Policy

2022 Letterhead

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