Submit an Experience

Application Submitted By:

Typical Term(s) the Experience Takes Place:

Do students receive academic credit for this experience?: (If the experience includes the awarding of academic credit, approval from the appropriate academic dean is required for the experience to be listed on the Cocurricular Record).


If no, go to item 17. 

Did the requirements to complete this experience exceed the requirements to complete the course?

Did the experience result in a special achievement, certification, or recognition that is not reflected on the academic transcript?

Please list approved supervisors for this experience: 

If approved supervisors are not members of the Truman faculty or staff (or you have more than one Truman supervisor), please provide the following information: 

Please check up to five university or departmental learning outcomes to which this experience contributes:

Does the student have an opportunity to provide feedback regarding the quality of the experience?:

When and by whom will the names, Banner numbers, and other desired data about students completing this experience be submitted? (spreadsheet template will be provided upon approval): 

Do not fill in the following field