2012 UMC Course Completion Form

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Journeyman License Number(s)*

Expiration Date*

My instructor had extensive knowledge of the subject matter.*

My instructor presented the material in a clear manner.*

The course was easy to use.*

I learned more about the code.*

I would recommend this course to a friend.*

Comments or Suggestions:

PLEASE PRESS THE SUBMIT BUTTON, not the mark complete button.