Professional Development Reflection Form
Please complete the following information after attending one of our online webinars or in-person coach clinics to request professional development credit from the National Speech & Debate Association.
Your Information
Please use the name you would like to appear on the certificate.
First Name *
Your answer
Last Name *
Your answer
School Name *
Your answer
School State *
Association District *
Email Address *
Your answer
Street Address *
(for receiving mailed copy of certificate)
Your answer
City *
(for receiving mailed copy of certificate)
Your answer
State *
(for receiving mailed copy of certificate)
ZIP Code *
(for receiving mailed copy of certificate)
Your answer
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