20-21 BYF Training SW/SCECH Sign In Sheet For Module # 7 on 4/15/2021

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On behalf of the Oakland Schools and START Training Team:

Please utilize this form in order to document your participation to receive applicable SCECH/SW credits for the modules you attend for the 20-21 START BYF Training!

This form allows us to ensure accuracy of your name, district, and SW/SCECH identification number and participation for each topic.

By completing this form, you acknowledge that you attended 100% of the workshop and you will also keep track of your hours for your records. This sign-in is proof of your attendance of the training in order to receive applicable credits for your participation and is required to be filled out after each session you would like credits for.

Thank you

Email *

I am applying for: *

SCECH Credits

Social Work Credits

First Name *

Last Name *

District *

PIC Number or SW License Number *

I understand I must sign in for SW or SCECH credit after EACH session/module I attend and have filled this form out for each previous date I have attended: *

Yes

No/I missed the sign in for credits and would like to indicate my attendance at a previous session

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