Co-curricular Report Form

Use this form to report two Global Citizenship-themed events you helped plan or/and attended this semester.

* - Required field

Name*: Cohort*:

Event Title*:

Event Date(mm/dd/yyyy)*:

Did you help plan this event?* Yes No

If yes, how did you help?

Please state in about 4 sentences how this event ties into Global Citizenship, and mention something interesting that you learned from this event.*

Email*:

Date(mm/dd/yyyy)*:

Send a copy of this form to me at the following email address (optional):