Student Activity Credit Form
Submit your student activity details to request credit for your school or program. Please fill in all fields accurately to ensure timely review.
Student Name
*
First Name
Last Name
Student ID
*
Student Email
*
example@example.com
Activity Name
*
Activity Type
*
Please Select
Community Service
Club/Organization Event
Competition
Workshop/Seminar
Sports
Other
Date of Activity
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Number of Credits/Hours Requested
*
Supervisor/Advisor Name
*
Activity Description
*
Upload Supporting Document (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Activity Credit Request
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