Assembling Inclusion Podcast PD Certificate
After listening to an episode of the Assembling Inclusion podcast, fill in this Google Form to receive a professional development certificate. 

If you do not receive your PD certificate automatically within 5 minutes of submitting the form, please reach out to assemblinginclusion@gmail.com 
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First Name Last Name *
Write your name as you would like it to appear on your PD certificate
Email Address *
Note: Some school district email addresses block external emails, which may prevent you from being sent your certificate. If you've experienced this issue in the past, please consider using a different email address.
What episode did you listen to?  *
Approximately how long was the episode?  *
Feel free to round up to the nearest interval.
Please list one reflection or one new thing you learned as a result of listening to this episode *
This takeaway will be included on your professional development certificate. Please limit responses to 500 characters or less so the response will fit on the certificate. 
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