------------ Maximum 10 per year per committee. (copy above information for each activity you are claiming) Total Hours Claimed for 3. Participation Volunteer or Community Involvement: – 4. Learning Formal and Informal Office – Use Only Date: Learning Formal Activities Hours – Title of Course: given a. University, College and Technical Institute – Organization: undergraduate and graduate credit coursework. Duration (# instruction Passing grade required (transcript will be required if description of course (1-2 sentences): audited). Functional Competency Area: Hours Claimed: Maximum 30 hours per course (based on ------------ instructional hours) (copy above information for each activity you are claiming. This includes individual courses in an overall program such as an MBA, courses must be listed individually with the above noted information) Date: Learning Formal Activities Hours – Title of Course: given b. Non-Credit Courses attendance at courses that – Organization: may lead to a certificate. Duration (# instruction hours): Brief description of course (1-2 sentences): Maximum 15 per course. Functional Competency Area: Hours Claimed: ------------
Maximum 10 per year per committee. ------------ (copy above information for each activity you are claiming) Total Hours Claimed for 3. Participation – Volunteer or Community Involvement: 4. Learning – Formal and Informal Office Use Only Learning – Formal Activities a. University, College and Technical Institute – undergraduate and graduate credit coursework. Passing grade required (transcript will be required if audited). Maximum 30 hours per course (based on instructional hours) Date: Title of Course: Organization: Duration (# instruction description of course (1-2 sentences): Functional Competency Area: Hours Claimed: ------------ (copy above information for each activity you are claiming. This includes individual courses in an overall program such as an MBA, courses must be listed individually with the above noted information) Hours given Learning – Formal Activities b. Non-Credit Courses – attendance at courses that may lead to a certificate. Maximum 15 per course. Date: Title of Course: Organization: Duration (# instruction hours): Brief description of course (1-2 sentences): Functional Competency Area: Hours Claimed: ------------ Hours given