Cultural Sensitivity Training Acknowledgement Form
Please complete this form to confirm your participation and understanding of the Cultural Sensitivity Training.
Full Name
*
First Name
Last Name
Department or Role
*
Date of Training
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 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Training Facilitator
*
Training Format
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In-person
Virtual/Online
Self-paced Module
Blended
Which key topics were covered in your session? (Select all that apply)
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Cultural awareness and respect
Unconscious bias
Inclusive communication
Workplace diversity
Conflict resolution
Other
How useful did you find the training?
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1
2
3
4
5
Do you feel you understand the importance of cultural sensitivity in the workplace?
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Yes, completely
Somewhat
Not yet
What is one action you will take to apply what you learned?
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Please provide any additional comments or feedback about the training.
Acknowledgement: I confirm that I have completed the Cultural Sensitivity Training and understand its key concepts and importance in the workplace.
*
I acknowledge and confirm
Submit
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