Clock hours registration form
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Course name *
Start date of course *
MM
/
DD
/
YYYY
Name *
Email (preferred for clock hour communication) *
I am aware that in order to receive full clock hours I must attend all sessions. Clock hours will be awarded based on in-person (online) attendance not recordings. *
Required
How many clock hours are you looking to earn? *
I am aware that I am responsible for maintaining my records of clock hours earned. BELONG Partners will email clock hours earned at the end of the course. We are not responsible for submitting clock hours to any organization. *
Required
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