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Education Credit Form

Please fill out the form below completely. You may submit this form online or mail a copy to the FCRB.
If you have any questions or comments, please call the FCRB at (602) 452-3547
 

Name:

County:                          Board:  

Date Training Completed:

Enter your email address if you would
like to receive an email confirmation:

Type of Training (Choose one from the list):

Attended a conference, seminar, or workshop
Observed juvenile court proceedings
Spent time with case manager, juvenile probation officer, or police officer
Toured a group home or residential facility
Viewed a video tape
Substituted as FCRB member on another board
Read professional literature relating to issues of concern to the FCRB
Substituted as an FCRB member on another board
Attended FCRB "Brown Bag" lunch/informal training
Attended CASA "Brown Bag" lunch/informal training
Attended DES Training
Assisted with new board member orientation training
Presenter of recruitment information during community meeting
Other (Please Specify):

Title of Training:

 Number of Hours:   

What were your expectations of this option?

Did this training meet your expectations?

How did this option enhance your role as a FCRB member?

Would you recommend this option to others?
yes   no

If you participated as a speaker and presented recruitment/outreach
information regarding FCRB, please indicate who the audience was
and how many people were in attendance.

Please add any additional comments or suggestions below:

You may also print out his page and mail it to:
FCRB
1501 West Washington Street
Suite 128
Phoenix, Arizona 85007

Technical difficulties? Please email by clicking here or you may call (602) 452-3400

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Last update:
03 September 2008		 ©  Arizona Supreme Court. All Rights Reserved Top of Page