CCE & Webinar Class Make-up Form

If you missed a recorded class, you may make up the credit. Missed classes must be made up within six months from the date it was delivered. 1) Please watch or listen to the class. 2) Answer the questions below. 3) Submit.

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
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{ binding firstError.message }
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Is this class: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
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Once we receive your make-up reqest, we will review your submission and email you a confirmation that credit will be issued.  Please allow 7-10 business days for processing. 

CCE & Webinar Class Make-up Form

CCE & Webinar Class Make-up Form

If you missed a recorded class, you may make up the credit. Missed classes must be made up within six months from the date it was delivered. 1) Please watch or listen to the class. 2) Answer the questions below. 3) Submit.

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone # - Optional if we do not have it, please place it. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Class Title you are making up: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date the class took place: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is this class: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What were the class highlights covered? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What did you learn from this class? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Signature - I affirm I reviewed and made-up the class in full. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Once we receive your make-up reqest, we will review your submission and email you a confirmation that credit will be issued.  Please allow 7-10 business days for processing.