Name: Lecture Title: Lecture Speaker: Lecture Date:

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Name:
Lecture Title:
Lecture Speaker:
Lecture Date:
Please attach separate sheets with an outline of the lecture with notes that you have written while
watching the lecture online. A separate outline must be completed for each conference. Please email
this form back to Daniece Mackie at [email protected] for credit for lecture attendance. Forms must
be completed within 30 days of the original lecture to receive credit for attendance.
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