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Registration for Missing Links in Academics
The course will be available March 25-April 5, 2024 in an asynchronous format. Participants may complete the course components at any time between these dates.
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Email
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Your email
First Name
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Your answer
Last Name
*
Your answer
Job Title
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Your answer
If you are an SLP, please provide your ASHA number for CEUs.
Your answer
School District
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Your answer
Email Address
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Your answer
Address 1
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Your answer
Address 2
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City
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Your answer
State
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Your answer
Zip Code
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Your answer
Phone Number
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Your answer
Which CEUs are needed at the conclusion of the course?
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Educator CEUs from SRESA
ASHA CEUs from DuBard
ALTA CEUs from DuBard
Certificate of Attendance
Required
Payment options: Payment must be received before materials will be emailed to participants.
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Purchase Order
Check made payable to DuBard School for Language Disorders
Online Payment - link for online payments will be sent in confirmation email
DuBard Staff Member
If using a purchase order, please provide the purchase order number and contact information for responsible party.
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I understand at the conclusion of this form a confirmation email will be sent with the link for digital payments. Materials will be mailed at least one week prior to the beginning of the asynchronous sessions if payment has been secured.
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