Power-based Violence Training Attestation Form

Power-based Violence Training Attestation Form

This form is designed to certify that you viewed the mandatory Title IX Power-based Violence Video in its entirety.
I, FULL NAME HERE* , do attest that I completed the Power-Based Violence Training provided by my employer, LSU Shreveport.
Name*

First NameLast Name
Title*
Department*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Signature*

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Should be Empty: