Please complete the form below after you have watched all of the session recordings that you would like to receive continuing education credit for from the 2021 Judicial Summit on Mental Health. Once you complete the form, you will be emailed a certificate of attendance for your selected sessions.

Question Title

* 1. Please completely fill out your contact information below:

Question Title

* 2. Please select which type of credit(s) you are requesting.

Question Title

* 3. If you are requesting CLE credit hours, please enter your Bar Number below.

Question Title

* 4. Please indicate which session recordings you watched online.

Question Title

* 5. Please confirm your total number of credits earned below. Note: You may only submit a max of 15 CLE hours.

Question Title

* 6. If you would like to receive credit for Ethics, please confirm your total number of Ethics hours earned below. Note: You may only submit a max of 2.75 Ethics hours.

Question Title

* 7. By clicking "Yes" below, you acknowledge that the information you submitted above is correct.

T