Certificate Of Attendance

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Certificate of Attendance
for Land Use Training at the
(Place Training/Conference title here)
(Place date here)
sponsored by
(Place Sponsor Name here)
(Return to your Governing Board)
_______________________________________________________________
Certification
By signing below, I certify that I attended the following courses at the above conference:
Course title: _____________________
Presented by: __________________________________________
Duration:________Hours
Course title: ___________________________________________
Presented by: __________________________________________
Duration:________Hours
Course title: __________________________________________
Presented by: __________________________________
Duration:________Hours
_______________________________
_____________________________
Name (Please print legibly)
Signature
_____________________
______________________
Address
Date
Note: This sample form was developed for illustrative purposes. The governing board of each municipality passes a
resolution to determine what training is eligible to meet the requirements of the new state law. (For more information,
please see Annual Training for Planning and Zoning Board of Appeals Members at the Department of State’s
website: ).

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