Appellate Division, Second Judicial Department
Office of Attorneys for Children

PROCTORED-VIEWING
WEBINAR AFFIRMATION

In order to receive continuing legal education credit for viewing a webinar, please complete this form in its entirety and forward it via email to: [email protected]

PART I-CERTIFICATION OF CONTINUING LEGAL EDUCATION

Please provide the following information below:


Affirmation

Affirms under penalties of perjury and states that the information provided herein is true and accurate. I certify that I have listened to and/or viewed the above listed course in its entirety. Therefore, I request that I be awarded the applicable number of New York CLE credits for this course.

(You have the option to sign either digitally or by hand.)

Office of Attorneys For Children
Appellate Division, Second Department

PART II - WEBINAR EVALUATION

Please rate the speaker on a scale of 1-5 in each box below:
(5-Excellent; 4-Good; 3-Average; 2-Fair; 1-Poor):


Name Applicability to Work Speaker Quality Program Content Presentation Method Written Materials

Please rate the Webinar by checking the applicable box:

Webinar Evaluation Ratings
Webinar Evaluation Ratings
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Administration of Program
Technology
Overall Program

Did the program cover the areas you anticipated and, if not, in what ways did it fail to meet your expectations?