NJSBA CLE Form NJSBA CLE Form (NY, NJ, and PA) For On-Demands & Events NJ, NY & PA ATTORNEY AFFIRMATION: MCLE CREDIT FORM By completing this form, I certify that I have attended this course in its entirety and request that I be awarded the applicable number of CLE credits. Please Enter Your Information: Your Name: * Your Name: First First Last Last Your Email: * Your Certification * By checking this box, you certify that the information below is accurate, and that you have attended this session. NJSBA Product Code: Product Name * Type: * In-Person ProgramWebcast/WebinarOn-Demand Video/CD/MP3 CLE Code 1 CLE Code 2 CLE Code 3 CLE Code 4 CLE Code 5 CLE Code 6 CLE Code 7 CLE Code 8 CLE Code 9 CLE Code 10 CLE Code 11 CLE Code 12 By submitting this form, you will automatically earn NJ CLE credit(s) for this program. Please indicate the other credit types you would like to earn (if applicable): New York CLE Credit Pennsylvania CLE Credit (A $4.00 per credit charge will be applied.) Pre-Paid Pennsylvania CLE Credit (Must be paid in advance.) CPE Credit (Where Applicable) Please indicate your satisfaction with this program: Select OneExcellentMet ExpectationsNeeds Improvement Optional Feedback About The Program: PA Bar ID Number: Please Select The Number of PA CLE Credits This Program Has (Round Up on .5 CLE, eg 3.2 rounds up to 4) 12345678910 Calling All Great Ideas!Looking for a program on a topic we don't have, or know a speaker that would be perfect for a program or topic? Please let us know! Your Topic & Speaker Suggestions: Total You Will Be Charged: If you are human, leave this field blank. Submit Δ