Application submitted by:

8. Typical term experience takes place:

Please list 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:

43. 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