Requesting Seminar Credit for an Outside Program

This form should be used if your chapter is seeking  Leading with Values^® credit from your Member Experience Specialist (MES) for seminars, lectures or other events held on your campus or in your community outside of Leading with Values seminars. You do not need to submit this form if your chapter completes a Leading with Values seminar; instead, members should fill out the feedback survey. Once you submit this form, the information you provided will be shared with your MES. Requests for credit should be submitted at least one month before the end of the academic term during which the program took place. The MES decides whether credit will be given for this activity. 

Please note that Critical Conversations^® Speaker Series visits will not count for outside credit as Leading with Values seminars.

Please complete the following information in order for your MES to make an informed decision.

First and Last Name

Vice President Member Experience’s email address:

Chapter

Program Name

Date program was presented

MM/DD/YYYY

Which core value and learning outcome did the program focus on?

Integrity Lifelong Commitment Honor and Respect Personal and Intellectual Growth Philanthropic Service to Others Sincere Friendship

Who sponsored the program?

Percentage of chapter members in attendance

0-20% 21-40% 41-60% 61-80% 81-100%

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