AM26 In-Person Attendee & Speaker CLE Reporting

Please complete this survey at the conclusion of the meeting to verify your attendance and request CLE.

Unsure of your total minutes attended? Use our CLE Tracking Worksheet to help determine your total eligible minutes prior to completing this form.

Question Title

1. Please enter your first and last name (Required.)

Question Title

2. Please enter your email address (Required.)

Question Title

3. Please list the first state in which you are requesting CLE (Required.)

State

Bar Number

Question Title

4. Please list the second state in which you are requesting CLE (if applicable)

State

Bar Number

Question Title

5. Please list the third state in which you are requesting CLE (if applicable)

State

Bar Number

Question Title

6. Please list the fourth state in which you are requesting CLE (if applicable)

State

Bar Number

Question Title

7. Please list the fifth state in which you are requesting CLE (if applicable)

State

Bar Number

Question Title

8. Did you participate as a Speaker or Moderator for a CLE session? (Required.)

Yes

AM26 In-Person Attendee & Speaker CLE Reporting

Question Title

* 1. Please enter your first and last name (Required.)

Question Title

* 2. Please enter your email address (Required.)

Question Title

* 3. Please list the first state in which you are requesting CLE (Required.)

Question Title

* 4. Please list the second state in which you are requesting CLE (if applicable)

Question Title

* 5. Please list the third state in which you are requesting CLE (if applicable)

Question Title

* 6. Please list the fourth state in which you are requesting CLE (if applicable)

Question Title

* 7. Please list the fifth state in which you are requesting CLE (if applicable)

Question Title

* 8. Did you participate as a Speaker or Moderator for a CLE session? (Required.)

1. Please enter your first and last name (Required.)

2. Please enter your email address (Required.)

3. Please list the first state in which you are requesting CLE (Required.)

4. Please list the second state in which you are requesting CLE (if applicable)

5. Please list the third state in which you are requesting CLE (if applicable)

6. Please list the fourth state in which you are requesting CLE (if applicable)

7. Please list the fifth state in which you are requesting CLE (if applicable)

8. Did you participate as a Speaker or Moderator for a CLE session? (Required.)