Affidavit
This form must be completed within 2 weeks after attending the accredited program or credit will not be given.

To fulfill PSA rating continuing education requirements, a rated professional must acquire 28 educational credits in a three-year period to keep his/her ratings active.

If you have passed the Basic Accreditation or Foundations of Coaching Course, you are considered rated.

I attended/completed: *
Event Name (if webinar please indicate topic) *
Your answer
Held In (City, State) *
Your answer
Event Date *
MM
/
DD
/
YYYY
I am claiming the following number of education credits: *
Your answer
Your name (first and last) *
Your answer
Your PSA member number *
Your answer
Your Email *
Your answer
I certify that the information I have submitted is true and correct. *
Submit
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