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Office of Intercultural Affairs

Verification of Attendance Form

Verification of Attendance Form

Intercultural Student Scholars Experience (virtual)
March 6, 2021, at 2 p.m.
ZOOM Link: Here

Student\'s Last Name *

Student\'s First Name *

Student\'s Birthday *

Student\'s Permanent Address *

Apt, suite, etc.

Country

City

State

Zip code

Student\'s Mailing Address (if different than permanent address) *

Apt, suite, etc.

Country

City

State

Zip code

Phone Number *

Parent or Guardian Email Address *

Student Email Address *

High School *

Junior or Senior *

Verification *

Yes

No

For prospective scholarship award purposes, I hereby inform Marshall University that I attended/watched the virtual Intercultural Student Scholars Experience on March 6, 2021, or another date, prior to April 1, 2021.