First Name *

Last Name *

GVSU Email *
Please enter a GVSU email address ending in @gvsu.edu or @mail.gvsu.edu.

Phone *

G-number *

Campus/Community Engagement Experience Proposed

Semester *
- Select Semester Winter 2030 Spring/Summer 2030 Fall 2030 Winter 2029 Spring/Summer 2029 Fall 2029 Winter 2028 Spring/Summer 2028 Fall 2028 Winter 2027 Spring/Summer 2027 Fall 2027 Winter 2026 Spring/Summer 2026 Fall 2026 Winter 2025 Spring/Summer 2025 Fall 2025

Please choose one of the following options: *
- Select Option I would like to register for HNR 300 and use an experience from the website list. Please write that experience below. I would like to use another course to substitute for HNR 300. Please explain in box below. If study abroad please note location. I would like to propose an alternative HNR 300 experience or a course that I believe fulfills the requirements. Please provide a detailed explanation, including a rationale for the number of credits you are proposing.

Based on option chosen above please give details as specified. *

Credits requested for this proposal: *
- Select Option 1 credit 2 credits 3 credits