Certificate of Completion template

	A	B	C
1	Fields	Your Responses
2	Workshop Title	Own the Stage: Spotlighting ASL Theater Techniques
3	Workshop Date	6/26/2025
4	Workshop Start time	5:00 PM
5	Workshop End TIme	7:30 PM
6	Presenter Name	Benjamin Featherstone
7	Venue Name	Zoom
8	Venue Address
9	Venue City, State	Remote from Utah, 84062
10	Content Level	Some
11	Special Emphasis	No
12	Emphasis	Performing Arts
13	Activity number	0113.0625.001	(enter **** if awaiting an Activity Number)
14	When all your information has been entered, select the Template tab and download your certificate as a PDF, adjusting the page breaks as necessary to get the certificate on one page
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26	Duration	2.5	0.25
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28		Power, Privilege and Oppression (PPO)
29		Legal (L)
30	Little/None	Mental Health
31	Some	Medical
32	Extensive	Deaf-Blind
33	Teaching	Educational (K-12)
34		Educational (Post Secondary)
35	Yes	Performing Arts
36	No	Religious
37
38		with a emphasis
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