2021 Wasatch Back Conference                                             USBE Licensure Points
This form has been created to earn USBE licensure points for your attendance at the Wasatch Back Teaching and Learning Conference.  Points/Credit will be given for only the completed sections below.  Up to 5 points are available if you attend all sessions and team time.  
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First Name *
Last Name *
LEA (School District or Charter School) *
Email Address *
CACTUS Number
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