First Name: 

Last Name: 

Position: Please Choose One Administrator Building and Grounds/Maintenance Bus Driver Business Office CTE Paraprofessional CTE Teacher General Education Paraprofessional General Education Teacher Interpreter MOP COOP Personnel Nurse Occupational Therapist Occupational Therapy Assistant Physical Therapist Physical Therapy Assistant Psychologist Secretary Social Worker Special Education Paraprofessional Special Education Teacher Speech Pathologist Teacher Consultant Technology Director Technology Staff Other

Completion Date:  Select Month August September Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2007

I have printed my Michigan Learnport Certificate of Completion  Please Select Yes No

Supervisor's Name: 

I have delivered my Certificate to my supervisor:  Please Select Yes No

If you'd like, you may comment on this process.  Let us know if this was your first online experience, if you prefer this option over watching the video as a group (right after breakfast), or any other comments you fill might be useful in future planning. Thanks.