Credit Request Form & Survey

Please complete the Credit Request Form and Training Evaluation to receive CLE credit and/or a Certificate of Attendance for the webinar.

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* 1. First Name

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* 2. Last Name

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* 3. BPR# (if applicable) 

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* 4. Email Address

Please indicate the length of time you attended the presentation. If you did not attend the entire presentation, please choose a time below that best represents how much of the training you attended.

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* 5. ATTORNEYS ONLY: I attest that I attended Collaborative Strategies for Juvenile Court Professionals and request the following CLE credit:

For Title VI and Title IX Compliance, please make a selection from the dropdown menu to complete the following information:

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* 6. Sex:

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* 7. Race

Training Evaluation

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* 8. Please rate the following on a 1-5 scale (1 = Strongly Disagree, 5 = Strongly Agree):

  1 - Strongly Disagree 2 3 4 5 - Strongly Agree
This training will be beneficial to my job performance.
The presenter was clear and easy to follow and understand.
This training increased my confidence to collaborate with juvenile court professionals.

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* 9. BEFORE today's training, what was your knowledge level on the following items? (1 = No Knowledge, 5 = Extensive Knowledge)

  1 - No Knowledge 2 3 4 5 - Extensive Knowledge
Overview of Juvenile Court of Memphis and Shelby County (juvenile court service, necessary parties, and attorney appointment).
Overview of DCS case process (mandated reporting, prevention, reasonable efforts).
Private party D&N petitions and order of referral.
Timeline and purpose of D&N hearings (ex parte, preliminary, adjudicatory, dispositional).
Discovery requests prior to D&N proceedings.
Stipulations/agreements to D&N findings.

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* 10. AFTER today's training, what is your knowledge level on the following items? (1 = No Knowledge, 5 = Extensive Knowledge)

  1 - No Knowledge 2 3 4 5 - Extensive Knowledge
Overview of Juvenile Court of Memphis and Shelby County (juvenile court service, necessary parties, and attorney appointment).
Overview of DCS case process (mandated reporting, prevention, reasonable efforts).
Private party D&N petitions and order of referral.
Timeline and purpose of D&N hearings (ex parte, preliminary, adjudicatory, dispositional).
Discovery requests prior to D&N proceedings.
Stipulations/agreements to D&N findings.

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