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Activity Report Form

STORM Scholars Program, College of Science and Technology

STORM Activity Report

Please complete a separate form for each activity you participate in. Questions: Krystal.Escobar@tamucc.edu or 361-825-2479

* Required

Type of Activity * Please select what type of activity you are reporting.

Lecture / Seminar
Outreach
Conference
Workshop
Meeting
Fair
Faculty Mentoring Session
Peer Mentoring Session
Other:

Your Name * Please enter your first and last name

Islander E-mail Address * Please enter your islander e-mail address (Example: name@islander.tamucc.edu)

Activity Name * Please enter the name of the event / activity.

Activity Date(s) * Please enter the date of the event / activity.

Activity Description * Please state the following: - Location, Sponsor, Description, Likes/Dislikes, Benefit to you, Other relevant information, website...and any other information.