2021 Self-Determination Conference CEH Certification Interest Form

Thank you for attending the Self-Determination Conference! Please complete the brief form below to submit your request for a Certificate of Participation and CEH Credits from our conference. 
1.First and Last Name(Required.)
2.Email Address(Required.)
3.Please check the box of all sessions you attended at the conference below:(Required.)
4.Do you have any additional questions or comments regarding your CEH eligibility?
Thank you for participating in this year's conference! We will verify and deliver your CEH Certificate within 30 days. If you do not hear from us by November 21, 2021, please email us at selfdetermined@incontrolwisconsin.org. 
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