Application for Acknowledgement of Certificate Completion
Full Name
*
Email address
*
example@example.com
Complete Mailing Address
*
Ex: 1234 Main St, Denver, CO 80000
Phone number
*
For which certificate are you submitting?
*
Please Select
Foundational Certificate
Advanced Certificate
Do you live outside the state of Colorado?
*
Yes
No
Please be sure to request your class audit from the SBAI office. Then upload your self-tracking sheet here which lists all your completed classes.
*
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Please label files in this format: FirstName_LastName_selftracking.pdf
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Image #1: Upload high resolution (300 dpi) scans of your final pieces. Please upload JPG format files only.
*
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Please label files in this format: LastNameFirstName_Title_Media_Year.JPG
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Image # 1: Title, Date, Media
*
Image #2: Upload high resolution (300 dpi) scans of your final pieces. Please upload JPG format files only.
*
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Please label files in this format: LastNameFirstName_Title_Media_Year.JPG
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Image # 2: Title, Date, Media
*
Image #3: Upload high resolution (300 dpi) scans of your final pieces. Please upload JPG format files only.
*
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Please label files in this format: LastNameFirstName_Title_Media_Year.JPG
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Image # 3: Title, Date, Media
*
Image #4: Upload high resolution (300 dpi) scans of your final pieces. Please upload JPG format files only.
*
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Please label files in this format: LastNameFirstName_Title_Media_Year.JPG
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Image # 4: Title, Date, Media
*
Image #5: Upload high resolution (300 dpi) scans of your final pieces. Please upload JPG format files only.
*
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Please label files in this format: LastNameFirstName_Title_Media_Year.JPG
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Image # 5: Title, Date, Media
*
How would you like your name to be printed on the certificate?
*
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