Clock Hours | Shape Washington

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Clock Hour Form

First Name

Last Name

Email

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Course Title

Course Instructor

Did the course meet the objectives listed in the syllabus?

Select an option

Yes

No

The extent to which the activities identified in the program were met, where 5 is fully met and 1 is not met.

Select an option

5

4

3

2

1

How would you rate the relevance and the quality of the offering?

Select an option

Excellent

Above average

Average

Not relevant to my teaching

Comments on objectives met.

Comments on activities in the program being met.

Please list suggestions for improvement on the course.

Select one:

PE Central

Welnet/Focused Fitness

SHAPE WA Fall State Conference

SHAPE WA West Best

SHAPE WA East Best

SHAPE America National Convention

Other

Select one:

1 clock hour - $2

2 clock hours - $4

3 clock hours - $6

4 clock hours - $8

5 clock hours - $10

6 clock hours - $12

7 clock hours - $14

9 clock hours- National Convention - $18

10 clock hours - $20

12 clock hours- National Convention - $24

15 clock hours - $30

18 clock hours- National Convention - $36

21 clock hours- National Convention - $42

25 clock hours - $50

27 clock hours- National Convention - $54

30 clock hours- National Convention - $60

36 clock hours- National Convention - $72

39 clock hours- National Convention - $78

45 clock hours- National Convention - $90

48 clock hours- National Convention - $96

50 clock hours - $100

Thank you for submitting your clock hours. We will be sending you the OSPI clock hour form via email soon. If you have any questions, please contact the Executive Director, Terri Farrar.

SHAPE WASHINGTON

Society of Health & Physical Educators - Washington State

Non-Profit 501(c)(3) Organization

executivedirector@shapewa.org

15790 Redmond Way #1151

Redmond, WA 98052

Voice/Text: 360.269.3864

©2023 SHAPE Washington

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