Experiential Learning Event Form - Health and Biosciences & Public Service

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Health and Biosciences & Public Service Institute Leads, Faculty, the Department of Student Life, Institute SEGs, and Student Leaders will use this form to describe Co-Curricular events for this Institute.

Form must be completed 6 weeks prior to event.

Number and Name of Institute

3-Health and Biosciences Institute - Dean Christopher Metsgar

5-Public Service Institute - Dean Christopher Metsgar

Identify Academic and/or Co-Curricular Student Learning Outcomes (SLO) associated with this event

SLO 1: Students will strengthen their academic knowledge through co-curricular programming and activities.

SLO 2: Students will know how to access applicable campus and community health, wellness, social service, and academic resources.

SLO 3: Students will develop relevant leadership skills through training and leadership opportunities.

SLO 4: Students will have the opportunity to build relationships on campus and within the community.

SLO 5: Student will demonstrate the ability to reflect on and explore their own values in genuine respect for differences among people and ideas through multicultural campus activities students will have the opportunity to build relationships on campus and within the community.

SLO 6: Students will develop a broader understanding of civic participation as it relates to local and global events.

Identify Additional Academic and/or Co-Curricular Student Learning Outcomes (SLO) associated with this event if necessary

How Will You Measure Student Learning Outcomes? (Select all that apply)

Attendance

Participation

Reflection

Other

If "Other", please describe

Please Describe Your Experiential Event (Select all that apply)

Co-Curricular

Extra-Curricular

Service Learning

Field Experience

Event Lead Contact Name

Event Lead Contact Phone

Event Lead Contact Email

Name of Event

Date of Event

Start Time of Event

End Time of Event

Is the location tentative or confirmed?

Tentative

Confirmed

Location of Event

If confirmed, please provide the Request for Use of Facilities (RUF) tracking number

Purpose of Event

Is this event for one or multiple classes? If so, please include the CRN for the targeted class audience

Proposed Budget for this Event

Proposed Budget by Line Item (Ex. Transportation, Speaker, Beverages, etc.)

Has this event/project been funded in the past? If so, please describe how and who has paid for it.

Additional Set-Up Needs are Required for the Event (i.e. tables, chairs, mics, etc.)

If this is a multi-Institute event, please list the other Institutes. (Check all that apply)

1-Creative and Communication Arts Institute

2-Business and Entrepreneurship Institute

3-Health and Biosciences Institute

4-Advanced Manufacturing and Logistics Institute

5-Public Service Institute

6-Science and Technology Institute

This is not a Multi Institute Event

If multi-institute, please list the name and email address of all faculty/staff collaborators

Please Upload Necessary Forms for Student Life Processing (Refreshment Request, Travel Documents, Purchase Quotes, etc.)

Update an Engaging Flyer or AlamoEXPERIENCE Content You Would Like Used for Advertisement

Do you want to live stream/archive this event for online students? NOTE: TWO TO THREE WEEKS ADVANCED NOTICE IS REQUIRED!

Today's Date