<p> International Association of Assessing Officers Continuing Education Log</p><p>Member Name Address City, State/Providence, Zip/Postal Code</p><p>Daytime Phone Email Recertification Cycle End Date Designation & #</p><p>OFFERING NAME & TOPIC FORM1 OFFERING SPONSOR LOCATION OFFERING DATE(S) # OF Begin – End HOURS</p><p>Use additional sheets if necessary TOTAL # OF HOURS</p><p>I affirm the accuracy of all recorded information above and I understand it is subject to IAAO audit. I will provide proof of program attendance if requested.</p><p>Signature Date Submitted</p><p>1 FORM: C = CLASSROOM D = DISTANCE LEARNING W = WRITING T = TEACHING</p><p>Return to: IAAO, 314 West 10th Street, Kansas City, Missouri 64105 Page ____of ____</p><p>IAAO – 314 West 10th Street, Kansas City, Missouri 64105  Phone: 816-701-8100  Fax: 816-701-8149  iaao.org</p>