"*" indicates required fields Please complete all fields so that we can send you a Certificate of Attendance for California MCLE for this course.This field is hidden when viewing the formCompleted by the ProviderThis field is hidden when viewing the formProvider NameThis field is hidden when viewing the formProvider NumberThis field is hidden when viewing the formTitle of ActivityThis field is hidden when viewing the formSubmission Date MM slash DD slash YYYY This field is hidden when viewing the formSubmission Time Hours : Minutes AM PM AM/PM This field is hidden when viewing the formLocation of Activity (City/State)This field is hidden when viewing the formThis Activity qualifies for Participatory Self-Study This field is hidden when viewing the formTotal California MCLE Credit HoursThis field is hidden when viewing the formSub-field credits Legal Ethics Recognition and Elimination of Bias Implicit Bias Competence Issues This field is hidden when viewing the formSub-field credits - Legal EthicsThis field is hidden when viewing the formSub-field credits: Recognition and Elimination of BiasThis field is hidden when viewing the formSub-field credits: Implicit BiasThis field is hidden when viewing the formSub-field credits: Competence IssuesVideo Verification Codes1st*2nd*3rd*Attorney DetailsName of Attorney*California State Bar Number*Signature*Email*Please use a frequently-checked email address, because this is where we'll send your Certificate of Attendance PDF. EmailThis field is for validation purposes and should be left unchanged. Δ
