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A Livestream option is offered for students with compliant equipment and a reliable internet connection, and you must be visually present on camera with a functioning live mic (no log-in with just an icon, etc.). Cellphones cannot be used to participate by Livestream. Course delivery is in-classroom, and can also be livestreamed from a remote location as long as attendance is compliant with NYS requirements. This is NOT an asynchronous course, so students must be present locally or as a remote livestream student. The course final exam and NYS licensing exams must be taken in person. Students may register as either in-classroom OR livestreaming, not both. Livestream students must pick up or prepay for shipping & handling of the course materials ahead of the class start date. ALL students are subject to NYS on-camera, synchronous attendance requirements, and passing the course exam to receive a Certificate of Satisfactory Completion from Cusack Center. In-person course final exams only.