Submit New CCR Experience

Your Name (first and last) *

Your E-mail Address *

Your Student ID Number *

Are you graduating in this academic year? *

Yes

No

Name of the Experience *

Experience Supervisor's Name *

Experience Supervisor's Title

Experience Supervisor's E-mail

Does the experience you want to add meet each of the following requirements? *

The experience is affiliated with and/or in a recognized partnership with St. Jerome's University.

The experience is not already formally recognized by the university (ie. on an academic transcript).

The experience is linked to specific competencies and learning outcomes.

Competencies Associated with the Experience *

These are the competencies that a student might develop while participating in this experience.

Experience Category *

Community Engagement Experience Description *

Leadership Experience Description *

Personal and Professional Development Experience Description *

Service and Experiential Learning Experience Description *

Is there anything else you want the CCR committee to know?

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