Certificate Creator for Completion of Virtual PD

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If you have completed a PD course that does not offer a certificate of completion, you may request a certificate for CEU purposes by submitting this form. Once you complete this form, you will receive a certificate of completion by email. Please download this certificate and use Timekeeper to submit a request for CEUs. You will need to upload the certificate as a supporting document to your request in Timekeeper.

First Name *

Last Name *

Email Address *

Your certificate will be sent to this email address.

School Name *

Title of Virtual PD *

Length of session for CEU credit. *

Please round the the nearest quarter of an hour. {15 Minutes = 0.025; 1/2 hour = 0.05; 1 hour = .1 CEU's}

Date of Viewing/Completion of Virtual PD *

YYYY

Please share #1 of 3 things that you learned while watching the session. *

Please share #2 of 3 things that you learned while watching the session. *

Please share #3 of 3 things that you learned while watching the session. *

Describe 2 ways you can incorporate this topic in your own teaching that you got from this session. *

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