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Student Development Transcript Activity Validation Form
By completing this form you are requesting your listed involvement be added to your Student Development Transcript.
You must have the advisor, coordinator or sponsor of the activity confirm this form to validate your involvement.
An email will be sent to NU sponsors. All outside sponsors will go to the EXCEL program coordinator to verify. The EXCEL office will verify all information. If the information cannot be verified, it will not be placed on your Student Development Transcript.
Name
*
Required
First
Last
Northwood Email
*
Required
Student ID#
Campus
*
Required
Select a Location
Traditional Residential – Midland, Michigan
ADP – Online
ADP – Cerritos, California
ADP – Glen Ellyn, Illinois
ADP – Ford Louisville Assembly Plant (LAP), Kentucky
ADP – Ford Truck Plant (KTP), Kentucky
ADP – Louisville, Kentucky
ADP – Toyota Corporate Program, Kentucky
ADP – New Orleans, Louisiana
ADP – Alpena, Michigan
ADP – Bay City, Michigan
ADP – Belleville, Michigan
ADP – Flint, Michigan
ADP – Gaylord, Michigan
ADP – Grand Rapids, Michigan
ADP – Lansing, Michigan
ADP – Livonia, Michigan
ADP – Macomb, Michigan
ADP – Midland, Michigan
ADP – Saginaw, Michigan
ADP – Selfridge, Michigan
ADP – Troy, Michigan
ADP – Cedar Hill, Texas
ADP – Fort Worth, Texas
Graduate – Online
Graduate – Grand Rapids, Michigan
Graduate – Lansing, Michigan
Graduate – Midland, Michigan
Graduate – Troy, Michigan
Graduate – Belleville, Michigan
Graduate – Cedar Hill, Texas
Hours Involved
*
Required
Please enter a number greater than or equal to
0
.
Name of Activity
*
Required
Date of Activity
*
Required
MM slash DD slash YYYY
EXCEL Category
*
Required
Select one
NU Idea
Effective Communication
Critical Thinking
Professional Development
Globalization, Diversity and Inclusion
Leadership and Community Involvement
Sponsor Name
*
Required
Sponsor Contact Info (Email or Phone)
*
Required
Provide a short paragraph describing your learning value of the event
*
Required
Would you recommend this or a similar event to other students? Why or why not?
*
Required
Are you receiving academic credit for this activity?
*
Required
Yes
No
Is this activity a requirement for a course?
*
Required
Yes
No
Was this a paid position?
*
Required
Yes
No
Email
This field is for validation purposes and should be left unchanged.
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