Professional Development Certificate Request The Montessori Experience: Refresher Course and Workshops CERTIFICATE REQUEST If you require a certificate from one of our annual The Montessori Experience: Refresher Course & Workshops held in February (prior to 2020), please complete the following information. There is a $10 fee. Personal InformationName* First Name Middle Name (optional) Last Name Email Address* For which year are you requesting a certificate?201920182017201620152014201320122011Course Completion ConfirmationWhich course did you attend?*Assistants to InfancyPrimaryElementaryAdolescentAdministrative WorkshopAssistants' WorkshopMontessori For EveryoneNoneWhich sessions of this course did you attend?* Saturday AM Saturday PM Sunday AM Sunday PM Are there any Friday or Monday Workshops for which you also need a certificate of attendance? Please list them here:Consent* I verify that I attended all sessions for which I am requesting a certificate.*Payment InformationFee Price: $10.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name CAPTCHAEmailThis field is for validation purposes and should be left unchanged.