|   |
| Title of Workshop
EXAMPLE Reading in the Content Area |
Source/site
Nash Central Middle |
Presenter
|
Date(s) /Time of Attendance
2-13-04 & 2-14-04 8:00-1:00 each day |
General/
Total Renewal Credits 1.00 |
Tech Renewal Credits |
Reading Renewal Credits |
| Participant's Name
John Jones |
Social Security Number
222-000-3456 |
2-13 & 2-14 | 1.00 | 1.00 | |
| Sally Smith | 111-222-0000 | 2-14 only | .50 | .50 |
Title of Workshop
|
Source/site
|
Presenter
|
Date(s) /Time of Attendance
|
General/Total
Renewal Credits |
Tech Renewal Credits |
Reading Renewal Credits |
Participant's Name
|
Social Security Number
(May use last 4 digits) |
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