CERTIFICATE OF COMPLETION

[Pages:2]CERTIFICATE OF COMPLETION

Statewide Conference for North Carolina Nonprofits Duke Nonprofit Management Program & North Carolina Center for Nonprofits December 4 & 5, 2019 - Benton Convention Center, 301 W 5th St., Winston Salem, NC

North Carolina Center for Nonprofits Participants at the 2019 North Carolina Center for Nonprofits statewide conference may apply 6-12 hours of credit toward the Duke University Certificate in Nonprofit Management. The Conference is the premier annual event for North Carolina's nonprofit sector, drawing 400-600 nonprofit decision-makers from across the state, along with foundation trustees and staff, business leaders, consultants, vendors, and corporate giving officers, who work with nonprofits. Participants receive exposure to national cutting-edge speakers, access to high quality information, and important connections with peers, grant makers, and others.

Duke Nonprofit Management Program Participants who attend the North Carolina Center for Nonprofits Conference workshops may apply 6-12 hours per day toward the Duke Certificate in Nonprofit Management. Sessions will be classified as General Electives. A fee of $25 per course credit hour will apply. For questions about how to register and apply the credit hours, call the Duke Nonprofit Management Program at 919-681-1025.

Instructions for applying 6 - 12 hours of credit toward the Duke Certificate in Nonprofit Management 1. Complete this form. 2. To confirm hours - Ask a North Carolina Center for Nonprofits representative to sign this Certificate. 3. Send the signed/approved form to: Duke Nonprofit Management Program, Attention: Program Coordinator,

Box 90708, Durham NC 27708 4. Make check payable to Duke Nonprofit Management Program - $150 (6 hours) --- $300 (12 hours). 5. Mail to Duke Nonprofit Management Program, Attn: Program Coordinator, Box 90708, Durham NC 27708.

The deadline for submitting this form is April 30, 2010. Completion of this form certifies that __________________________________ (Participant) attended the North Carolina Center for Nonprofits Conference, December 4 & 5, 2019.

Check day(s) for credit: December 4 December 5 Participant/Name: __________________________________________________________________________

Address: __________________________________________________________________________________

City: _______________________________________State:______________ZIP:________________________

Phone: ______________________________ Email: _______________________________________________

___________________________________________ __________________________________________

Participant Signature

(Date)

North Carolina Center for Nonprofits Signature (Date)

Nonprofit Management Program

ENROLLMENT FORM

Statewide Conference for North Carolina Nonprofits Duke Nonprofit Management Program & North Carolina Center for Nonprofits December 4 & 5, 2019 - Benton Convention Center, 301 W 5th St., Winston Salem, NC

Please complete form.

Full Name: ________________________________________________________________________________

Address: __________________________________________________________________________________

City: _____________________________________State:____________________ZIP:____________________

Daytime Telephone ________________________Evening Telephone _________________________________

Fax: __________________________ E-Mail:_____________________________________________________

Organization: ______________________________________________________________________________

Your Title: _______________________________________________________________________________

Sessions You Are Enrolled In: ________________________________________________________________

Please indicate the number of hours completed: 6 12

Sign below. Your signature indicates that you attended the 2019 North Carolina Center for Nonprofits Conference and is approved to receive the course credit hours stated above at a payment of (6 hours ($150) ? 12 hours ($300) to the Duke Nonprofit Management Program. Call 919-681-1025 for additional information.

Signed: ___________________________________________________ Date: __________________________

Duke Nonprofit Management Program Mission: To strengthen the capacities of people, organizations, and networks within the nonprofit sector

The NPM Program addresses the sustainability and impact of nonprofit workers and volunteers through accessible training and community based networking. The Program integrates Duke commitment to research and academic excellence with the practical wisdom of the nonprofit instructors and the realistic work experiences of the participants. Visit our website at or call 919-681-1025.

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