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* 1. Please provide your name. Please enter your first name first and your last name last.

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* 2. Please provide your email address.

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* 4. Please provide the name of the professional development event you attended or participated in.

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* 6. When did you attend or participate in this event (the date should be accurate, but estimating the start time is fine)? If the event took place over multiple days, please just provide the date the event began. If you attend a conference, please count the conference as one event rather than inputting individual sessions.

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* 7. Please specify how much time (in hours) you spent attending or participating in this event, in 15 minute increments (in decimals please, i.e., 1.25, 1.5, etc.). If you attend a conference or an event that takes place over multiple days, please log each session you attended separately if possible.  If not, please give your best estimate of the total amount of time spent on professional development. If you attend a meeting, please don't count the meeting unless there was a professional development component, and please only count the amount of time devoted to professional development.

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