NECLTA PDP Request Form

Dear NECLTA members,

Thank you for registering for the NECLTA or NECLTA sponsored event. On your registration, you requested a PDP certificate for your attendance at the event. Please complete the short form below so that we can issue you the PDP certificate accordingly.

You are probably also aware that we issue PDP certificates to our members only. If you are not a member yet or your membership has expired, please follow the link here (https://neclta.org/membership) to become a member or to renew your membership.

We thank you for your participation at the event and we look forward to welcoming you to our next event.

Sincerely,

Mingquan Wang, PhD
Language Coordinator
Chinese Program, Tufts University

Executive Director
New England Chinese Language Teachers Association

Name (same as you would appear on the PDP certificate)

Family Name

Given Name

Chinese Name in characters

Email

Enter your email again

School Affiliation

Name of School

City

State

Country

Please provide information on the event you attended.

Name of event

Date of event (DD-MM-YY)

Are you a current member of NECLTA?

Yes

No

Skip this question if you answered yes to the question above. Answer the question here if you answered no to the question above.

Are you planning to become a NECLTA member or renew your NECLTA membership this month?

Yes

No

If you have any questions, comments or suggestions regarding PDPs, please enter them here.

Thank you for completing the form. We will email the certificate to you within a couple of weeks, if you qualify. Remember to click ">>" at the bottom to submit your form.