ACE Share Your Story Form

Use this web form to answer questions about your ACE experience and your story may be featured on the ASHA CE website. Also, your name will be entered into a monthly drawing to win a 1-year subscription to the ASHA CE Registry.

Alternatively, you can complete the questions offline and mail or fax your submission to My ACE Story, Renee Levinson, ASHA Continuing Education, 2200 Research Boulevard #340, Rockville, MD 20852 (Fax 301-296-8574.)

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Contact Information

First Name:*

Last Name:*

Account Number:*

Mailing Address:*



Zip Code:*

Phone Number:*

ACE Questions

What does the ACE mean to you? Do you display an ACE certificate in your workplace? Have your clients asked you about it?*

For you, what are the benefits of earning an ACE?*

Are there any benefits from earning the ACE that you didn't anticipate?*

What would you tell a new clinician in the professions about the importance of continuing education?

Do you have any additional comments about earning the ACE that you'd like to share?

And a Little Bit About You

What's your professional area of concentration? Specific population you work with?*

What's your work setting (i.e. school, clinic, hospital, etc.)?*

In what city do you work?*

In what state do you work?*

Assuming you really ACE'd the questions above and wind up being featured on the website, would you be willing to submit a photo of yourself to go with the story?*

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