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CALENDAR OF EVENTS
Engagement Experience Honor Roll Form
Student Name:
Student Email:
Student Phone Number:
Student ID:
MSU or Community Supervisor Name:
MSU or Community Supervisor Department/Affiliation or Organization:
Supervisor Email:
Supervisor Phone Number:
Type of Engagement Activity:
Choose One
Civic Engagement
Community-Based Problem Solving
Leadership Development
Service-Learning
Volunteerism/Community Service
Other (please specify)
If you selected other, please specify:
Completion Date of Engagement Activity:
YYYY-MM-DD
Format: YYYY-MM-DD
Number of Hours Completed:
Description of Activity:
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