Please submit this form, along with any proof you have showing your workshop attendance, each month. MCNAIR SCHOLAR: _____________________________________________________________ WORKSHOP TITLE: _____________________________________________________________ DATE OF WORKSHOP: __________________________________________________________ DURATION OF WORKSHOP: ______:______ A.M. P.M. TO ______:______ A.M. P.M. LOCATION: ____________________________________________________________________ SPEAKER(S): ___________________________________________________________________ STUDENT SIGNATURE: __________________________________________________________ BRIEF DESCRIPTION DETAILING THE WORKSHOP: Was this workshop helpful to you? Explain your answer. Would you recommend this workshop to other McNair Scholars? Would this workshop or speaker be an appropriate McNair program speaker? ************************************************************************************ Please submit this form, along with any proof you have showing your workshop attendance, each month. MCNAIR SCHOLAR: _____________________________________________________________ WORKSHOP TITLE: _____________________________________________________________ DATE OF WORKSHOP: __________________________________________________________ DURATION OF WORKSHOP: ______:______ A.M. P.M. TO ______:______ A.M. P.M. LOCATION: ____________________________________________________________________ SPEAKER(S): ___________________________________________________________________ STUDENT SIGNATURE: __________________________________________________________ BRIEF DESCRIPTION DETAILING THE WORKSHOP: Was this workshop helpful to you? Explain your answer. Would you recommend this workshop to other McNair Scholars? Would this workshop or speaker be an appropriate McNair program speaker?