Approval Request for Events & Programs – Culture & Inclusion Credit

Note: Each outside program and event will be approved for no more than 2 hours of Culture and Inclusion Credit.

Approval Request for Outside Events & Programs

Your Name *

Your Email *

Name of Program *

Date of Program *

Length of Program (in hours) *

Program Speakers or Presenters *

Program Description *

Program Learning Objectives *

Website/URL to event description *

Was this event approved for CLE Credits? *

Yes

How many CLE Credits is awarded to this event?

If you are human, leave this field blank.

If you have any questions regarding culture and inclusion credit approval for outside events and programs please contact Sharon Van Leer or Debra Nelson

. Thank you.

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