November 2022 Collaborative Sessions -- Request for PDHs Certificate 
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First Name (This will appear on the certificate) *
Last Name (This will appear on the certificate) *
Email Address (This is where your certificate will be sent) *
By checking the "yes" box below and submitting this form via Google Survey, you are confirming the the information below is true:  you have attended the sessions live or watched the full recordings.  You also confirm that you understand that ISCA cannot guarantee that your licensing or re-certification body will accept the PDHs that you might submit to the agency. *
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