NYLA YSS 2025 Conference - CE Transcript Request Form

To receive NYLA CE/CTLE credit, attendees are required to:

1.) Submit one (1) program evaluation for each program they wish to receive credit for within the 2025 event. Please note you can evaluate the full event in one form, or multiple forms can be completed if necessary.

2.) Submit a CE Transcript Request Form to receive NYLA CE/CTLE credit generated in your NYLA Account and a certificate to be emailed to email provided in the request form. Each attendee wishing to receive credit should complete this form one (1) time.

All fields in an evaluation are required. Please do not submit an incomplete form. All incomplete submissions will be deleted.

Attendees will have approx. three weeks (Friday, April 25th) following the event to submit all of their program evaluation forms and the CTLE Transcript Request Form. Any requests submitted after the 30-day deadline will incur a $10.00 administrative fee. Questions can be emailed to intern@nyla.org.

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* 1. Attendee Name

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* 2. Attendee Email

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* 3. Attendee Phone Number

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* 4. Attendee Date of Birth

Date / Time

Date

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* 5. Attendee Address

Address:

City:

State:

Zip Code:

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* 6. What type of CE credit are you requesting?

NYLA CE

CTLE

BOTH NYLA CE and CTLE

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* 7. Last FOUR Digits of Attendee's Social Security Number (This information is required for CTLE credit by NYS. If you are requesting CTLE, please include this information):

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* 8. Did you complete all required Program Evaluations for each session attended at the event?

Yes

No. I forgot to complete an evaluation for my program(s). Program evaluations are required in order to submit your request for credit. Please find the evaluation form and submit the requirements.