Please complete Experience Type Experience Start End Total Repeated? Organization name Contact’s name Brief Description of duties and what you (see below) Name Date Date Hours (Did and email gained from the experience you do this more than once?) 1. 2. 3. 4. 5. 6. Examples of what to write for Experience Type: Community Service non-medical, Community Service medical or health-related, Shadowing or observation, research or lab, paid employment (indicate medical or non-medical), award or honor, hobby, intercollegiate athletics, conference, leadership not listed elsewhere, publication, military service
Please complete Experience Type (see below) Experience Name Start Date End Date Total Hours Repeated? (Did you do this more than once?) Organization name Contact’s name and email Brief Description of duties and what you gained from the experience 1. 2. 3. 4. 5. 6. Examples of what to write for Experience Type: Community Service non-medical, Community Service medical or health-related, Shadowing or observation, research or lab, paid employment (indicate medical or non-medical), award or honor, hobby, intercollegiate athletics, conference, leadership not listed elsewhere, publication, military service
ActivitiesLog.docx