Flex Activity Corrections Form

NOTE: The Professional Development Office reviews and verifies all submitted changes via FLEX Sign-in Sheets (and other FLEX records) before applying any changes to your FLEX Summary.

Name*

Dept.*

E-mail*

Contact Phone #

FLEX activities that should be added to my FLEX Summary. Please supply as much information as possible (FLEX #, Workshop/Activity Title, Date, Times, Location, Presenter, etc.)

Flex activities that should be removed from my FLEX Summary.

Other corrections requested. Please supply as much information as possible (Example: request a correction of FLEX hours due to partial attendance or for being a presenter at a particular FLEX Workshop/Activity.)