Attendance Sheet:   Brothers in Valor: Battlefield Stories of the 89 African Americans Awarded the Medal of Honor, Dec. 2, 2021
Attendance Sheet

DIRECTIONS: Please complete this form. This is how we know which emails wish to send the PD credit activity.
Do not forget to also register for the webinar.  

If you have questions about this form, please email MTyer@FDMuseum.org
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E-mail *
Untitled Title
Last Name *
First Name *
Your IEIN is required information. If you do not have an IEIN, type 00000. If you need to look up your IEIN, please visit: https://sec3.isbe.net/IWASNET/login.aspx
Educator IEIN number.   *
Date of Professional Development Activity
December 2, 2021
Title of Professional Development Activity
Brothers in Valor: Battlefield Stories of the 89 African Americans Awarded the Medal of Honor
Location
ONLINE- First Division Museum
Name of Provider
Illinois Civic Mission Coalition- First Division Museum at Cantigny Park
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