Professional Development Certificate Request Form (iSocial Recorded Webinars only)

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Please fill out this following form after you have completed viewing a iSocial Webinar. A certificate of attendance will be sent to you within 2 business days of submitting this form.

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電子郵件 *

Name (First and Last) *

Program/School/Organization *

Role/Title *

Phone Number *

Which Webinar did you complete? *

Please type your initials certifying your completion of the webinar identified above. *

We welcome feedback to help make our webinars the best they can be. Do you have any feedback you would like to share? *

In which NH county is your site located? *

Do we have your permission to contact you in the future about Pyramid Model-related opportunities in New Hampshire? *

Yes

必填

Are you a iSocial practitioner/member/partner? *

繼續

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請勿利用 Google 表單送出密碼。

這份表單是在 NH Department of Education 中建立。檢舉濫用情形

表單