Individual Application for Judicial Credit

from

County Judges Education Committee

Texas Association of Counties

Judge’s name___________________________________________________________

County________________________________________________________________

Address_______________________________________________________________

City______________________________State________________Zip_____________

Telephone__________________________Fax________________________________

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Event________________________________________________________

Date(s)_________________________________________________________________

Location________________________________________________________________

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Sponsoring Organization__________________________________________________

Address________________________________________________________________

City________________________________State______________Zip______________

Telephone_______________________________________________________________

Number of Judicial Credit Hours applied for_________________________________

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Please submit this application and a copy of the event agenda describing topics, contact hours and faculty to:

Education Department

Texas Association of Counties

PO Box 2131

Austin, Texas 78768

For questions regarding this application, please call Joyce Francis at

(512) 478-8753