CAOHC APPROVED COURSES

Flowchart: Terminator: ANNE PRATT GIROUX, AuD, FAAA, CCC-A
CERTIFIED CAOHC DIRECTOR
124 Silver Street, Waterville, ME 04901
207-872-0320 / fax 207-872-0330

PLACE: 124 Silver Street, Waterville, Maine. Parking down in church parking lot on right.

CERTIFICATION COURSE

(20 hrs/3 days)

DATES:

Sept. 15, 16 & 17, 2010_________

TIME: 8:00 a.m. to 5:10 p.m.

FEES: $550.00

(includes CAOHC manual)*

*includes: tuition, Certification fee (paid to CAOHC), lunch and coffee breaks.

***Please bring your audiometer if you have one.

***Course size is limited to 8 students. Please register early.

REGISTRATION for CERTIFICATION Please fax registration to 207-872-0330

NAME_________________________CERTIFICATION #___________EXP. Date________

NAME OF COMPANY______________________________________________________

ADDRESS_______________________________________________________________

CITY___________________________________STATE_____________ZIP___________

PHONE NUMBER_work:___________________home:___________________cell:_________________________________________ .

EMAIL: work:______________________________________________home:______________________________________________

Make checks payable to: Dr. Anne Giroux, Audiologist

PLEASE INDICATE ANY SPECIAL ACCOMMODATIONS / RESTRICTIONS THAT YOU MAY NEED: