"*" indicates required fields 1234 X/TwitterThis field is for validation purposes and should be left unchanged.Audiology CEU SubmissionPlease Note: You will only be able to submit for Audiology CEU credits one time. Please submit this form once you have attended all your sessions and acquired each session’s CEU code. CEU forms must be submitted no later than Friday, November 21, 2025. CEU credits will be finalized and a certificate will be delivered around December 22, 2025.Your DetailsName* First Last CredentialsEmail*Please use the same email as your FCOM Account. 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(W0L0Y0)11/16/2025 9:30 AM – Building Influence Skills: Strengthen Teams & Lead New Providers (L2R9B5)11/16/2025 10:15 AM – Solving Unique ENT-Audiology Clinical Challenges (S4R3Z2) EvaluationPlease answer all evaluation questions generally in regards to the conference sessions as a whole.Overall conference speakers' effectiveness, meeting objectives and presentations.*ExcellentVery GoodGoodFairPoorVery PoorThe overall conference speakers' use of examples and illustrations were:*ExcellentVery GoodGoodFairPoorVery PoorThe overall conference speakers' presented material free of bias*ExcellentVery GoodGoodFairPoorVery Poor AssessmentWhat concepts were new or better understood as a result of the sessions yout attended? (provide 2-3)*If the content of the overall sessions is relative to your practice, what changes do you intend to make?* The content reinforced what I am already doing in my practice The activity provided new knowledge and strategies that I can incorporate into my practice I need more information before I can make changes None What will you do differently as a result of attending all of the conference sessions?*How will you apply what you learned as a result of all of the attended conference sessions?* Review Your Submission Please Note: You will only be able to submit for Audiology CEU credits one time. Please ensure that all information entered is correct below. {all_fields:nohidden}