Leadership Speaker Series Attendance Confirmation Form
To document your attendance at a Leadership Speaker Series, please be certain to list your Leadership Coach on
the event sign-in sheet and provide the following information. Upload the completed form to your Leadership and
Professional Development Portfolio for review.
Student Name:
Date of Event:
Name of Event:
You saw this speaker
On-site or
Via Video
Name and Title of Presenter:
Briefly summarize what this speaker said and what you learned from him/her regarding your personal leadership
development. You need to write enough here to convince your Leadership Coach that you both 1) attended and 2)
learned something that will benefit your personal leadership development.
If the event you attended did not have a sign-in sheet, print & take this form with you and have a person (not a
student) affiliated with the event complete the information below to confirm your attendance at this event
(Examples would be a faculty member, coach, or department administrator.). You will then need to scan and
upload this document to your portfolio for inclusion.
Print Name:
Date:
Signature:
Title or Association with the event:
When Complete: Save this document to your computer. Name the document like this: Doe, John_Speaker.
Upload the completed document to your portfolio for your Leadership Coach to review.