CE REQUEST FORM (for Connect 2021 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 9 - March 4

Saturday-Sunday, February 13-14

Friday, February 19

Thursday, February 25

From below, you may select ONE all-day session or one from the morning group and/or one from the afternoon group.

Friday, February 26

From below, you may select ONE all-day session or one from the morning group and/or one from each, the early and late afternoon groups.

Saturday, February 27

From below, you may select ONE all-day session or one from the morning group and/or one from each, the early and late afternoon groups.
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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