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Maintenance of Certification Workshop
Please complete this survey to register to attend a free MOC Renewal ZOOM Workshop.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Employee Number
(Leave blank if you are not an LAUSD employee)
Your answer
LAUSD email address
(Leave blank if you are not an LAUSD employee)
Your answer
NON-LAUSD email address
*
(This is the preferred method of contact)
Your answer
Cell Phone Number
*
Your answer
Home Phone Number
Your answer
Name of your school district?
*
Los Angeles Unified
Other:
School
*
Your answer
Year you achieved National Board Certification
*
Your answer
I would like to register for the MOC Renewal Zoom Workshop on:
*
Thursday, June 22 from 6:00 pm - 8:00 pm
Saturday, June 24 from 10:00 am - 12:00 noon
In order to confirm your attendance, You MUST click "Submit" below to register your RSVP.
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