Equity and Diversity Certificate Program - Application Component Form
Participants working toward the Advanced Certificate must complete at least six hours of 'service' related to equity and diversity work in their unit, department, student organization or other venue.

Participants should feel free to consult with OED’s Director of Education or a member of the OED Training Team about the parameters, expectations, and completion of this component.

Note: The Office for Equity and Diversity may reference this project (without the use of identifying features, such as names) in publications and reports.

Name *
Your answer
Email *
Your answer
Employee/Student ID *
Your answer
Position *
Your answer
Unit/Dept/College *
Your answer
Where did your service take place? *
Your answer
When did it take place? *
Your answer
Please describe your service below, including what the service entailed, and how you think it relates to the work of equity and diversity. Feel free to email Stef Jarvi (swilench@umn.edu) any additional documentation you would like to share. *
Your answer
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