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ASHA CEU
Participation Form

Sorry, but this form is now closed.

Please complete this form for ASHA CEUs & to receive a participation certificate via email.

*First name

*Last name

*ASHA Number

*Email

*Address

City

State

Zip Code

*Phone

*How many sessions did you attend? (Total numbers of workshops)

What event did you attend?

What is one valuable insight or perspective you gained from your time at the NSA Event?

By submitting this form, I confirm that I participated in the NSA Event listed above and am logging this time toward my continuing education.

The National Stuttering Association is an accredited 501(c)(3) nonprofit organization committed to diversity, equity, inclusion, and belonging.

(Tax ID 94-2420533).

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