Fillable FORM D | Leadership Experiences: fl Carson College (Washington State University)

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FORM D | Leadership Experiences: fl Carson College (Washington State University)

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fl
Carson
College of
Business
WASHINGTON
STATE
UNIVERSI1Y
•
FORM D | Leadership Experiences
Peer Mentor, Peer Tutor, Resident Advisor, Executive Board Member for Student Club,
Ambassador, Cougar Connector, Teaching Assistant, Research Assistant, Orientation Counselor,
Committee Involvement*, Regular Community Involvement*, etc.
*Activity involvement m
ust be pre-approved before starting/requesting badge completion.
Student Name:
Student ID #
:
WSU Email:
Which Badge would you like t
his form to satisfy?
Na
me of Company/Organization where activity was completed:
Location:
Title of Y
our Position or Activity Completed:
Supervisor of the Activity (Name and Position Title):
Supervisor Phone:
Supervisor Email:
Da
te(s) of Participation: to
Total Hours of Participation:
Develop & Lead (III)
fl
Carson
College of
Business
WASHINGTON
STATE
UNIVERSI1Y
•
What was the biggest challenge that you faced during this experience and how did
you respond? Use the STAR method to structure your response:
Situation: Describe the specific situation that you were in. This can be from
previous job, a volunteer experience, or any relevant event.
Task: Describe the task you needed to accomplish. What was the goal?
Action: Describe the action you took and keep the focus on what you did.
Results: Explain the results you achieved. What happened? How did the event
end? What did you accomplish? What did you learn?
This form serves to confirm that the Carson College of Business student listed above
provided honest and accurate details about their aforementioned, self-reported
involvement. A supervisor signature is required for this form to be considered valid.
Valid submission of this form will help the Carson College of Business student complete
required components of the Carson Career Amplifier Program.
Student Signature: ______________________________________________ Date: ____________
Supervisor Signature: ___________________________________________ Date: ____________
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FORM D Leadership Experiences: fl Carson College (Washington State University)

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Completed 12 November 2021

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