GEO CEH LOG

skip navigationNEW HAMPSHIRE BOARD OF LICENSURE FOR
PROFESSIONAL GEOLOGISTS

CONTINUING PROFESSIONAL DEVELOPMENT - ACTIVITY LOG

Licensee:
PG License No.: State:
Expiration Date:

FOR THE PERIOD

From: To:
Page No. of

Activity
Number
#


DATE(S)
OR
DATE RANGE
NATURE OF ACTIVITY, LOCATION, SPEAKER/INSTRUCTOR AND THEIR TITLE

SPONSORING ORGANIZATION, ADDRESS AND CONTACT INFORMATION

CEH'S
FOR THIS ACTIVITY

CUMULATIVE CEH'S FOR THIS PERIOD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Per Geo 403.07, the licensee must retain documentation verifying their participation in each activity
 for at least three years

 

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