Early Childhood Professional Development

Select the Course you have completed*
Date of Completion*
Date Format: MM slash DD slash YYYY
TO RECEIVE 0.6 CEUS: You must upload the Part I (6 hours) Certificate of Completion.

TO RECEIVE 0.8 CEUs: You must upload BOTH Part I (6 hours) and Part II (2 hours) Certificates of Completion.
Upload the Certificate of Completion certificate/Contact Hour Certificate*
Accepted file types: pdf, jpg, png, jpeg.
Personal Information
Name*
First Last
Email*
Cell Phone*
Address*
Street Address City State ZIP Code
Birthday (Include Year)*
Educator ID / Last Four Digits of SSN*
School District/ Organization*
Payment Information
Which credit are you applying for?*
- CEUs
Payment Method*
- $16.50 - Credit/Debit Card
- $15.00 - Check/Money Order
Early Childhood Professional Development
Price: $16.50
Total Due
$0.00

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