Is the work email address above the one in your ODE STARS account? (If not, please provide your ODE STARS email address on the "other" line below.) *
First Name *
Your answer
Middle Initial (used to accurately identify your STARS account to issue contact hours earned)
Your answer
Last Name *
Your answer
Date of Birth or Ohio License Number (used to accurately identify your STARS account to issue contact hours earned) *
Your answer
District/Organization *
Your answer
What is your role? *
Your answer
Are you taking the book study for contact hours? (In order to receive credit you must attend all sessions and fulfill all requirements of the book study. No partial credit will be given.) *
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