EXPERIENTIAL LEARNING FELLOWSHIP

EXPERIENTIAL LEARNING FELLOWSHIP

First Name *

Last Name *

UofM Email Address *

Major *

GPA *

Relevant experience pertaining to your proposed learning opportunity *

0/250 words

Provide a one paragraph description of the experiential learning opportunity outlining proposed research/internship/practica placement and its relation to your declared major. *

0/250 words

Include a brief statement of personal career goals and how this opportunity relates to this goal. *

0/250 words

Semester/Year Applying For *

Total internship hours for the Semester *

Full Name of Sponsoring Faculty Member *

Email of Sponsoring Faculty Member *