Beyond Boundaries Points Submission Form

First Name: *

Last Name: *

Student ID: *

Type of activity: Type of activity:

Name of Activity/Title of Book (include author if applicable): *

Timeframe (how many hours or from ___ month/year to ___month/year / put N/A for a book submission): *

Are you comfortable if we add your book to a BB-only shared spreadsheet (as a book list resource)?

Yes, including my name is fine

Yes, anonymously

If a Wash U course, course name and number of course credits:

Name(s) of faculty/staff teaching/overseeing the course/project/program or internship:

Website of/Link to Activity Information (if applicable):

Activity Description (i.e. brief summary of what took place, syllabus, learning goals, topics, etc): *

Please share why you chose to participate in this activity/read this book, reflect on what you learned, and how it relates to your BIG question (*250 word min for course/project/program and internship submissions*): *

Points Information:
• 1-2 points: Virtual/Audio OR Speaker/Exhibit
• 2-4 points: Networking/Workshop
• 3-5 points: Service/Volunteer
• 5 points: Reading a Book
• 8-15 points: Beyond Boundaries Specific Workshop/Event OR Seminar/Conference
• 15 points: Internship/Fellowship
• 20 points: Course/Project/Program

Based on the above information, how many points are you requesting for this activity? (max=20 points) *

Captcha