CT Leadership for a Lifetime POSTC Credit Form

Complete the following form below to generate your 103 CT: Leadership for a Lifetime training credit form. A copy of this certificate will be emailed to you. Please email help@dlglearningcenter.com with any questions.

Name
Please enter your full legal name. Please check and correct any spelling errors.
First Last
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Email
Your Department/Agency
Please enter your full department name. Please check and correct any spelling errors.
Your POST ID #
Please enter your POST ID #. You can leave this field blank if you do not know your POST ID #.
Signature
By signing you verify the above information is correct and the training was completed.
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Area
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Topic
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Course Hours – Field
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Credit Hours – Field
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Instructor
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Instructor ID
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Expiration Date
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Today's Date
Confirmation*
I have read and signed this form and attest that the information provided herein is true and accurate to the best of my knowledge. I understand that intentionally making a false written statement that I do not believe to be true with the intent to mislead a public servant in the performance of their official functions on a form bearing this notice is punishable by law. False Statement in the 2nd degree, under Connecticut General Statute § 53a-157b, is a class A Misdemeanor.
I have read and agree with the confirmation terms.