Credit Confirmation

This form can be used to request credit for many of the Community Challenge Activities. Please submit a new form for each distinct activity you completed.  If the activity you completed is not listed, credit is achieved through other means.

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1. First and Last Name (Required.)

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2. Email address (Required.)

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3. What was the date of the activity for which you are requesting credit? (Required.)

Date

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4. For what community challenge category are you requesting credit? (Required.)

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