Diversity Programming Affidavit of Completion Student Info Name * Click here to electronically sign this form in your name * Student ID * Email * Today’s date * Mitchell Hamline Designated or Approved Culture and Inclusion Event Title * Event date * Number of hours * Event type * Mitchell Hamline-sponsored live event On-demand video Outside-sponsored event Self-Reflection Self-Reflection: Take some time to reflect on your experience and write at least two paragraphs (300 words). * To obtain diversity programming credit for events not listed on the pre-approved list, on or off campus, please confirm qualification with Sharon Van Leer at sharon.vanleer @mitchellhamline.edu. You must have advance approval for each non-designated diversity event attended. Even if you receive advance approval, you must still complete this Affidavit of Completion. Click here to indicate that you received PRIOR approval from Sharon Van Leer reCAPTCHA If you are human, leave this field blank. Submit
