CE REQUEST FORM (for Connect 2023 event attendance)

INSTRUCTIONS - To receive CE credit, you must:

1. Complete the contact information below.
2. Select each session you attended and completed an evaluation for.
3. Sign and date electronically.
4. Submit this form as soon as possible after completing all evaluations and sessions.

You will receive an email from us with a link to download your CE certificate in a PDF format.

Online Session February 24 - March 11

Monday, March 6

Tuesday-Wednesday, March 7-8

Thursday, March 9

From below, you may select ONE 5-Hour session or maximum TWO 2.5-Hour sessions.

Friday, March 10

From below, you may select ONE 5-hour session or
a combination of 2.5-hour and 1.5-hour session

YOU MAY NOT SELECT OVERLAPPING SESSIONS.

Saturday, March 11

From below, you may select ONE 5-Hour session or maximum TWO 2.5-Hour sessions.

I confirm that I have attended, in their entirety, all events I have designated on this form and have completed the applicable evaluations forms.
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