EmailMeForm
Name
First
Last
Your SUID
*
Your 9 digit SUID. No dashes or spaces.
Confirm SUID:
Email
This is your syr.edu email address.
Confirm
Activity Information
Agency or Organization
*
Full Name
Hours of Service completed
*
Enter the number of hours for which you want credit.
Semesters of Service (select as many as appropriate; if the dates served don't appear, service from these dates has expired)
*
Summer '20
Fall '20
Spring '21
Summer '21
(to select multiple choices, hold ‘Ctrl’ and click your choices)
Work Schedule
*
Days/Hours if applicable
Supervisor Information
Enter information about your site supervisor here. If your supervisor did not have an email address, just enter your OWN email address, and use the confirmation email that gets generated to get their signature. Then bring their signature into Honors.
Site Supervisor's Name
*
This is the person who supervised your work.
Supervisor's Title
Supervisor Email
*
The email address where we can get in touch with your supervisor. [If supervisor does NOT have an email, enter your own email here]
Supervisor Phone
###
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###
-
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Description of Civic Activity
*
Self-Assessment
*
How did this experience contribute to your understanding of civic engagement? has that understanding evolved because of this experience? What will you look for in subsequent experiences?
Upload a picture if you would like to have your service featured in an Honors Civic Engagement Blog post.
Blog posts about your civic engagement activity helps raise awareness for your organization and demonstrates to other students what they could be doing. Shine a spotlight on your service by sharing pictures with us.
