Civil Rights Training Acknowledgement Form
Please complete this form to acknowledge your participation in the Civil Rights Training. All information must be accurate and complete.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department
*
Please Select
Human Resources
Operations
Finance
IT
Other
Job Title
*
Date of Training
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Trainer Name
*
Training Delivery Method
*
In-person
Virtual/Online
Self-paced
Location of Training (if applicable)
Comments or Feedback
Submit Acknowledgement
Should be Empty: