Transfer Policy Application Form
Anti-Racism, Diversity, Equity and Inclusion Training Program
Staff Name
First Name
Last Name
E-mail
Employee ID Number
Department
Title/Position
Supervisor's Name (First and Last)
Supervisor's Email Address
Credit Dispensing Organization
Facilitator(s) Name and Contact Information
Title of Course/Training
Description of Course/Training
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Bloom's Taxonomy Application: Explain how this training/course aligns with the "apply" level of Bloom's Taxonomy. How did it facilitate the practical application of knowledge or skills?
Declaration: By submitting this form, I acknowledge that the information provided is accurate to the best of my knowledge.
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