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EDUCATIONAL TECHNOLOGY CENTER First District Regional Educational Service Agency 201 W. Lee Street - P.O. Box 780 - Brooklet, Georgia 30415 (912) 842-5000 ~ FAX: (912) 842-5546 Professional Learning Unit (PLU) Course Verification Form This form verifies that this participant has completed the number of indicated contact hours of professional learning with First District RESA Educational Technology Center. PARTICIPANT INFORMATION: NAME: Kirby, Melanie EMELOe TG Bulloch SCHOOL/WORKSITE: | Langston Chapel SYSTEM: Elementary SESSION INFORMATIO! COURSE TITL Spring 2016 Media Specialist Collaborative DATE, Wednesday, March 23, 2016 CONTACT HOURS: 5 CONTACT: Lisa Burkhalter, Technology Director | SIGNATURE fan Brthabton Please complete and send this form to your District Professional Learning Director to verify and document contact hours earned. Signature of Participant Date

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