CLE & CPE Reporting Form
August 9, 2024 | 5th 10th 11th Circuits Educational Program
INSTRUCTIONS:
Please complete the following fields and click the Submit button at the bottom of the form when you are finished.
CONTACT INFORMATION
Full Name
*
Company
State
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone Number
E-mail Address
*
REPORTING INFORMATION
States for which you require CLE-CPE credit
*
CA
CO
FL
GA
IL
OK
TX
UT
WI
Other
Attorney/Bar Number
I require CLE credit
CLE Credit
I require CPE credit
CPE credit
I require both CLE and CPE credit
Both CLE and CPE credit
PROGRAM SESSIONS ATTENDED
Please mark the sessions you attended from the choices below:
Panel 1: Wait, Wait, You Did What?
Attended - Plenary, 8:30 to 10:45 AM
Panel 2: Bankruptcy Jeopardy: Answers in the form of questions
Attended - Plenary, 11:00 AM to 12:00 PM
Panel 3: Name that Tune: The Errors Tour
Attended - Plenary, 12:30 to 1:30 PM
Panel 4: Ethics and Professionalism at the Movies
Attended - Plenary, 1:45 to 4:00 PM
After clicking the Submit button below, you will be directed to
the webpage
where you may access your CLE-CPE Certificate of Attendance and any additional forms you may require.
The College is now an accredited CPE provider through NASBA. You will receive your CPE Certificate of Attendance following the conferenc
e
.
If you have any questions or need further assistance, please contact Cheryl Campbell at
cle@amercol.org
.
Thank you!
By clicking the submit button below, I certify that I attended the activities described above and am entitled to claim CLE-CPE credit hours.
Email
example@example.com
Submit
Print For your records
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