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Request for Outside Leading with Values Seminar Credit

This form should be used if your chapter is seeking Leading with Values credit from your Collegiate Regional Programming Specialist (CRPS) for seminars, lectures or other events held on your campus or in your community outside of Leading with Values seminars. Once you submit this form, the information you provided will be shared with your CRPS. Requests for credit should be submitted no less than one month prior to the end of the academic term during which the program took place. 

A note about seeking Leading with Values credit outside of Leading with Values seminars:

The Pi Beta Phi Values Refresher as well as one Leading with Values seminar from each of the six Pi Beta Phi core values should be completed during the calendar year prior to seeking outside credit. If these first six Leading with Values seminars are NOT completed, credit for the outside seminars will not be offered. Requests for credit should also be submitted within 30 days of the seminar. 

You may only count 3 outside seminars for credit toward the Chapter Evaluation. Example:

  • If PHI is your goal, you will have completed nine LWV seminars, including online feedback and three outside seminars with approval from your AAC VP of Member Development Advisor and CRPS.
  • If BETA is your goal, you will have completed six LWV seminars, including online feedback and three outside seminars with approval from your AAC VP of Member Development Advisor and CRPS. 
The CRPS reserves the final say as to whether or not credit will be given for this activity. 
Please note that Critical Conversations Speaker Series visits will not count for outside credit as Leading with Values Seminars; however, they do meet other criteria on the Chapter Evaluation.

Please fill in the following information as thoroughly as possible in order for your CRPS to make a most informed decision. 

Name: 

Email address: 

Vice President Member Development's email address: 

Chapter (please enter in format of "AL Alpha"): 

Program name: 

Date program was presented:   [None] Select a Date Delete the Date

Which core value and learning outcome did the program focus on? See a list of Pi Beta Phi core values and learning outcomes here.

Who sponsored the program?: 

Percentage of chapter members in attendance: 

Please provide a brief description of the campus/community seminar/speaker:

What did participants learn?

What type of chapter discussion accompanied the program?

How was the information shared with the entire membership?