Supreme Court of Nevada
Administrative Office of the Courts
Distance Education Program
DISTANCE LEARNING
CERTIFICATE OF ATTENDANCE
FOR JUDICIAL EDUCATION OR CONTINUING LEGAL EDUCATION ATTENDANCE CREDITS
(Rev. 9/2/2014)
Full training attendance will earn Continuing Judicial/Legal Education Credit based on which mode of distance learning you
attended, live on-line or on demand video. This certificate of attendance is required along with the completed evaluation in order to
receive credit. Please note: This form can be electronically signed and submitted online using “Submit Form”.
Course Information
Course Title:
Please initial the training delivery that you attended:
Live Online Course
CJE/CLE Hours
Date:
Self-Paced Online Course
CJE/CLE Hours
Date:
On-Demand (Video) Course
CJE/CLE Hours
Date:
Attendee Contact Information
Name:
Title:
Judicial/Business Affiliation:
Mailing Address:
City:
ST:
Zip Code:
Telephone Number:
Fax Number:
E-mail:
Affidavit
By signing below, I certify that I attended the activity I have initialed above and am entitled to claim education credits.
Signature:
Date:
Professional License # (if applicable):
Note: A copy of this certificate will be delivered to the respective professional Board(s) within 30 days of this educational activity.
Please complete, sign and return this form by mail, e-mail or "Submit" to:
Judicial Education Unit, Nevada Supreme Court - Administrative Office of the Courts
201 South Carson Street, Suite 250, Carson City, Nevada 89701
(775) 687-9858; Fax (775) 687-9850
judicialed@nvcourts.nv.gov
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signature
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