Fundamentals Reflection Form

First Name

Last Name

Event Type

Event Name

Event(s) name)

Hours Attended

Check off which competency this DEIA fundamental development aligns with (you may select more than one).

Please select all that apply.

What is the most significant takeaway or insight you gained from this DEIA development session?

min 100 words

Reflect on your learning and explore ways to apply these insights to your work and community. Consider actionable steps like volunteering, organizing workshops, or fostering dialogue to promote diversity, equity, and inclusion.

min 100 words

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