Submit a Participant Evaluation Summary

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After Completion of an Individual Activity:
All Individual Educational Activity Applicants granted approval for contact hours by the VNA CEA Committee are required to submit a Participant Summary Report after completing their activity.

After you have completed your Individual Activity, click here to submit your Participant Evaluation Summary.

If you are looking to complete a Continuing Education Survey for a VNA event in order to obtain your contact hours, please contact Jackie Jester via email

If your Evaluation Summary form will not upload due to size:
Please fill out the rest of the form, attach a blank document for the Evaluation Summary, and email Jackie Jester your evaluation form.

If you have multiple Evaluation Summary documents:
Please convert them to pdf format and combine the pdfs. If you need help with this, email Jackie Jester.

For Non-repeat, live-provider-directed, provider-paced individual educational activities:
Please submit Participant Summary Report & Evaluation Summary within 3 months of the program completion.

For Repeat live-provider-directed, provider-paced individual educational activities:
Single educational activity applicants who indicate that their activity will be repeated over the two year approval period are required to complete the Participant Summary Report, Evaluation Summary, and the Monitoring Repeat Activities questions after each and every time an activity has been given, yet before the next repeat activity occurs.  Submissions are due 2 weeks prior to repeating the activity. 

For Independent-provider-directed, learner-paced activities: 
A Participant Summary Report and an Evaluation Summary are to be submitted yearly and include all learners who completed the independent study for that year.   If the independent activity will be updated or changes made, please also complete the Monitoring Repeat Activities questions. 

If you have more questions regarding this process, please contact Jackie Jester via email.