BOARDSMANSHIP CREDIT FORM

For any meetings or conferences not directly sponsored by DSBA

Name: ___________________________________________________________________________

School Board: _____________________________________________________________________

Meeting/Conference Title: ____________________________________________________________

Sponsored By: _____________________________________________________________________

Date(s): __________________________________________________________________________

Time: ____________________________________________ to ______________________________

*Purpose: _________________________________________________________________________

* Must relate to boardsmanship activities

For the '09 -'10 program please return to DSBA by April 1, 2010 to receive credits toward a certificate.

Delaware School Boards Association

P. O. Box 1277 Dover, DE 19903