Request/Submit Contact Hours

Request/Submit Contact Hours

Use this form to track your contact hours for certification renewal. You need 36 hours in the past 3 years to renew.

If you are working on your initial certification by completing the Public Library Academy certification classes, use the PLA Attendance Form instead: https://bit.ly/3PWYm0H

Please select if you are requesting Contact Hours or submitting them.*

Request Contact Hours for any training you completed that did not issue a certificate with the listed hours/CEUs. If your certificate already has hours/CEUs, you can just submit them to track your progress towards certification.

Request

Submit

Requests cannot be approved without proof of attendance, which can be uploaded at the end of the form. You can use an event badge, registration email, etc.

If you have questions about what can count, please email odl.education@libraries.ok.gov

Last Name*

First Name*

Email Address*

Library*

Select or enter value

Name of Program/Conference*

Location*

Contact Hours*

For partial hour credit, type in your response as a decimal. Example: A ninety minute webinar would be entered as 1.5. Do not include any other text/words in this field.

Was this a multi-day training?*

Select

Start Date*

End Date*

Brief Description

Please list, by title or a short description, each class or program attended with the actual time spent in each class –or– provide an agenda with breakdown of time spent.

Information required: Brief Description*

Please provide a brief description of the training.

Information Required: Time Spent*

Please list the actual start & end times that you spent in each class/session -or- indicate that you are uploading an agenda with the time breakdown below.

How does this program relate to your current/future job responsibilities?*

Upload your training agenda or proof of attendance/certificate here

Drag and drop files here or

By checking the box below I hereby certify that the above information is true and correct to the best of my knowledge.

I understand that any false statements may result in denial or revocation of the certificate.

Certify*

Date*

Send me a copy of my responses

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