EXPERIENTIAL LEARNING FUNDING REPORT

Experiential Learning Funding Report

COLLEGE OF FINE ARTS AND COMMUNICATIONS
All individuals (both faculty and students) who received Experiential Learning Funds must submit a written report.

PLEASE NOTE: Music Students/Faculty will follow School of Music instructions -- DO NOT USE THIS FORM.

NOTE: Reports cannot be saved and completed later. Scroll down to see the information you need to submit this report BEFORE you begin.
Full Name *

First Name Last Name
Current status *
Email address *
School/Department *
Type of experience (e.g. Study Abroad, Mentorship, Scholarship) *
Number of BYU students involved in this experience *
Dates and location of experience *
Brief description of experience *

0/100
Amount of Experiential Learning funds received *
Brief description of product/outcome of experience - be specific *

0/100
Would you have been able to participate in this experience if you had not received experiential learning funds? *

Yes No
Name of Faculty Mentor/s (if none enter N/A) *
Please express your appreciation to the donors who provided the funds for your experience, letting them know how it has made a difference in your life. *

0/100
Names of other BYU faculty involved in this experience *
Should be Empty:

Experiential Learning Funding Report