Your Information

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Course Information

Number of Hours:*

For SDZG courses, add a half hour to the total hours listed on the certificate
(Example: if a certificate says the course was 2.5 hours, enter 3 here)

 

Name of Course or Activity Completed:*

Date Course/Activity Completed:

Proof of Completion is required. Please submit the appropriate form of proof for your submission. 

Reflection:

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