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If half of your hours are not from a PRA Approved Provider, please submit this form and PRA will contact you with further instructions.
Recertification candidates are required to be familiar with current PRA Code of Ethics (found at http://bit.ly/PRACodeOfEthics)
I understand that, unless I have otherwise specified in writing to PRA, my contact information including name, mailing address and email, may be provided to state and local chapters and affiliates of PRA to provide me with information on upcoming events that may benefit my professional development.
All contact information will be related to place of employment.
If YES, indicate your name and relationship to the certificant below:
*You can only select membership + recertification if: • you are not a current member • or your membership is expiring within six (6) months
Date
Format: 2024-12-21
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