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Application for EILA Credit
If your training already has an EILA number issued, you do not need to fill out this form. You can send your certificate or evidence of attendance to
Larry.Barber@boyd.kyschools.us
.
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Email
*
Your email
Name
*
Your answer
Program Name
*
Your answer
Presenter Name
*
Your answer
Date of Program
*
MM
/
DD
/
YYYY
Number of Hours
*
Your answer
Program Type
*
How will the training be held?
In Person
Digital/Virtual
If the program is in person, where did the program take place?
Your answer
If the program is digital/virtual, please share the website for the training below. Please indicate N/A
Your answer
Program Content: Describe the knowledge/skills you will learn.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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