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EC Continuing Education Award Submission Form

  1. Health & Human Services

    Ph: (970) 641-3244 | Fax: (970) 641-3738
    220 N. Spruce St, Gunnison, CO 81230

  2. Gunnison Co Logo D-small
  3. Early Childhood Continuing Education Award Submission Form

    This is a one-time award available to Early Childhood Teachers for completing formal coursework or a training of special recognition (EQIT or Pyramid 18 Sessions).

  4. I have completed the below selected course(s) on or after 08/01/2021.*

    Check all that apply

  5. Please upload a completion certificate or transcript for One (1) of your selected training completions

  6. Please upload a completed W-9 Form

  7. By entering your initials to the right you testify that all submitted information is yours and is correct. This will count as a legal signature.
  8. Leave This Blank:

  9. This field is not part of the form submission.