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Certified Checkbox Unchecker Certification Request Form
Would you like to be a certified checkbox unchecker? Ready to get your certification?
Once you complete this form a certificate will be emailed to you if you completed it.
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* Indicates required question
Checkbox Test
An unchecked checkbox
Enter the name or handle you want on the certification
Name
*
Your answer
Enter your date of certification below:
Feel free to back date it or simply put today's date. If you are a goal setter, feel free to set it for a date in the future.
Date
*
MM
/
DD
/
YYYY
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