CCAPP Academy Group Meeting Attestation Group Meeting Attendance Attestation CCAPP Education, Inc. Please complete all required fields (*) and sign below. This document may be retained as an official attendance record. Student Name * Student Name First Name First Name Last Name Last Name Student Email * Date of Group Meeting 1 * Date of Group Meeting 2 * Date of Group Meeting 3 * Facilitator Name * Meeting Name/Type Meeting Location / Type (Zoom, Teams, etc.) Total Meeting Hours * Additional Notes / Comments (Optional) Attestation Statement I, the undersigned student, hereby attest under penalty of perjury that the information provided on this form is true, complete, and accurate to the best of my knowledge. I confirm that I attended the CCAPP Academy group meeting described above, that I actively participated for the duration indicated, and that my signature below constitutes a true, voluntary, and legally binding attestation of my attendance and participation. Please sign below to confirm your attendance and attest to the above statement: Student Attestation Signature * signature keyboard Clear Submit If you are human, leave this field blank.