Application submitted by:

8. Typical term experience takes place:

 Please list the approved supervisors for this experience:

 If approved supervisors are not members of the Truman faculty or staff (or you have more than one Truman supervisor), please provide the following info:

45. Please list up to five university or departmental learning outcomes to which this experience contributes:

When and by whom will the names, Banner numbers and other desired data about students completing this experience be submitted? (Spreadsheet template will be provided upon approval):

Do not fill in the following field