FACULTY REQUEST FOR SERVICE ACTIVITY AND DEVELOPMENT CREDIT FORM, SUMMER 2018 SPRING 2019 – NAME: EMPLOYEE S#: DATE: HOME CAMPUS: DEPARTMENT: Estimated # of Credits Joint # of Service Source Activity Category CRN# Activity Name Completion Term Requested Project Credits Notes (drop down) (drop down) (drop down) (drop down) (Yes/No) Completed (drop down) FACULTY REQUEST FOR SERVICE ACTIVITY AND DEVELOPMENT CREDIT FORM, SUMMER 2018 SPRING 2019 Page 2 – –
FACULTY REQUEST FOR SERVICE ACTIVITY AND DEVELOPMENT CREDIT FORM, SUMMER 2018 – SPRING 2019 NAME: EMPLOYEE S#: DATE: HOME CAMPUS: DEPARTMENT: CRN# Activity Name Source (drop down) Estimated Completion Term (drop down) # of Credits Requested (drop down) Activity Category (drop down) Joint Project (Yes/No) (drop down) # of Service Credits Completed Notes FACULTY REQUEST FOR SERVICE ACTIVITY AND DEVELOPMENT CREDIT FORM, SUMMER 2018 – SPRING 2019 – Page 2
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