KENTUCKY COURT REPORTERS ASSOCIATION
VOLUNTARY CERTIFICATION PROGRAM
APPLICATION FOR PRO BONO
CONTINUING EDUCATION CREDITS
Reporter’s Name_________________________________________________
Telephone # ____________________________________________________
E-mail address (mandatory) _________________________________________
Name of organization for which pro bono service was provided
______________________________________________________________
Description of pro bono service provided ______________________________
______________________________________________________________
Date pro bono service was provided__________________________________
Number of hours of pro bono service provided _________________________
(NOTE: Kentucky Justice Association Trial by Jury at the State Fair:
.1 CEU will be given for each trial reported, regardless of length of trial.)
Name of supervisor of pro bono event (please print)
_____________________________________________________________
Telephone # of supervisor ________________________________________
Signature of supervisor __________________________________________
Signature of reporter ____________________________________________
PLEASE MAIL ORIGINAL SIGNED FORM TO:
PAT SCHNEIDER, RDR, CRR, CCR(KY)
505 IOLA ROAD
LOUISVILLE, KY 40207
REMINDER: You are limited to 1.0 CEUs earned through pro bono work per 3-year cycle. (Revised 6/13)