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CALCULATION OF LACTATION SPECIFIC CLINICAL PRACTICE HOURS WITHIN THE LAST 5 YEARS

Using the table below, provide self-documentation of your hours of experience providing clinical breastfeeding care

WITHIN THE 5 YEARS IMMEDIATELY PRIOR TOIBLCE EXAM APPLICATION

PLACE OF WORK / EXPERIENCE Month/Year started WITHIN THE LAST 5 YRSMonth/Year ended WITHIN THE LAST 5 YRSTotal weeks worked, excluding leave

(*required information)Average hours worked per week

(*required information)Total hours worked% time providing lactation and breastfeeding care

(*required information)

(do not include % symbol)TOTAL LACTATION SPECIFIC CLINICAL PRACTICE HOURS=D4*E4=F4*G4%=D5*E5=F5*G5%=D6*E6=F6*G6%=D7*E7=F7*G7%=D8*E8=F8*G8%=D9*E9=F9*G9%=D10*E10=F10*G10%=D11*E11=F11*G11%=D12*E12=F12*G12%=D13*E13=F13*G13%TOTAL LACTATION SPECIFICCLINICAL PRACTICE HOURS:=SUM(H4:H14) ................
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