Healthcare Staff Training Acknowledgement Form
Please complete this form to acknowledge your participation and understanding of the healthcare training session.
Full Name
*
First Name
Last Name
Job Title
*
Department/Unit
*
Please Select
Nursing
Medical Staff
Allied Health
Administration
Support Services
Other
Training Session Title
*
Date of Training
*
-
Month
-
Day
Year
Date
Trainer/Instructor Name
*
Please rate the clarity of the training content.
*
1
2
3
4
5
What was the most valuable aspect of this training?
Do you have any suggestions for improving future training sessions?
I acknowledge that I have completed and understood the above training session.
*
I acknowledge and understand
I do not acknowledge
Submit Acknowledgement
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