NU imPACKt Points - Northwood University Forms

NU imPACKt Points Submission Form

By completing this form, you are requesting that your listed activity be added to your NU imPACKt activity for the badge series you identify. Submissions must be completed within 10 business days of the event or activity.

To initiate the process for adding points to your imPACKt activity record, please submit the form below. Leadership and Go MAD submissions will be forwarded to the advisor, coordinator, or sponsor of the activity, who must complete confirmation to validate your involvement.

Some events will have a QR code to scan in and out of the event. You will still need to complete the form requesting your points toward a badge be added to your record. For the advisor, coordinator, or sponsor information, enter the following:

Spencer Korson, Coordinator of Leadership and Engagement

Northwood University

989-837-4151

For all submissions, the NU imPACKt E-Board will review the information and, if verified and approved, enter the information in your NU imPACKt record.

Student Information

Name(Required)

First Last

Northwood Student ID #(Required)

Northwood Email(Required)

Your Activity Information

For which badge are submitting an activity for review?(Required)

Date of Activity(Required)

Hours of Service(Required)

Please include a brief description of your activity, including your role(Required)

Advisor, Coordinator, or Sponsor Information

Advisor, Coordinator, or Sponsor Name(Required)

First Last

Advisor, Coordinator, or Sponsor Role(Required)

Organization(Required)

Advisor, Coordinator, or Sponsor Email(Required)

Phone(Required)

Consent & Signature

Electronic Signature(Required)

Please enter your full name.

Phone

This field is for validation purposes and should be left unchanged.