CERTIFICATE OF ATTENDANCE FOR CALIFORNIA MCLE
Top portion of form to be completed by the Provider
It is preferred that the form is pre-printed with the attendees name
and bar number.
Provider Name: _________________________________________________________
Provider Number: ______________________________________________________
Title of Activity: ________________________________________________________
Date(s) of Activity: _______________________________________________________
Time of Activity: ___________________________
Location of Activity (City/State): ____________________________________________
This Activity qualifies for: Participatory Self-Study
Total California MCLE Credit Hours for the above activity: __________, including
the following sub-field credits:
• Legal Ethics: __________
• Recognition and Elimination of Bias: __________
• Competence Issues: __________
Bottom portion of form to be completed by the Attorney after participation in the
above-referenced activity
By signing below, I certify that I participated in all, or some*, of the activity described above
and am therefore entitled to claim the following California MCLE credit hours:
Total California MCLE Credit Hours: __________, including the following sub-field credits:
• Legal Ethics: __________
• Recognition and Elimination of Bias: __________
• Competence Issues: __________
(You may not claim credit for the subfields above unless the provider is granting credit in
those areas above.)
Print Your Name (clearly): ____________________________________________
Your California State Bar Number: ____________
Signature: ________________________________________________________
* partial participation hours must be pro-rated MCLE Certificate of Attendance 0616_R
The Post 2020 Employment Law Landscape PART 1
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