Outreach Reflection Form

First Name

Last Name

Department

Outreach Event

Outreach Title (other)

Enter the name of the event you attended.

Outreach Hour(s)

Check off which competency this workshop aligns with you.

Awareness

Diversity & Equity

History

Inclusivity

Leadership

What is the biggest takeaway from this outreach?

min 100 words

What ideas can I incorporate into my current position?

min 100 words

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