Experiential Component Proposal Form

1. Name
2. Student Email
3. Student ID Number
4. Class Year
5. Check Appropriate Box*
- Major - Arts/Humanities Emphasis
- Major - Social Science Emphasis
- Major - Natural Science Emphasis
- Concentrator
6. Please indicate which option you have chosen by checking the box.*
Then, give your responses to the prompts below.
- OPTION 1: An off-campus or on-campus course. List the program or course you would like to participate in, along with the term and year. Describe below how you intend to meet the guidelines for the experiential component, including reflective activities and integrated project/closing activities. (Example: Environmental Science in Australia, Spring 2016)
- OPTION 2: An independent study, independent research, academic internship or similar combination of academic study and environmental experience. Describe below the proposed independent study, independent research, academic internship, or similar combination of academic study and relevant experience you have planned. Indicate the term/summer and year of the experience and describe how you intend to meet the guidelines, specifically the reflective activities and integrated project/closing activities.
- OPTION 3: A paid work experience or non-academic internship. Indicate the term/summer and year of the work experience. Describe below the proposed work experience and how you intend to meet the guidelines, including reflective activities and integrated project/closing activities.
Bearing in mind the guidelines, please respond to the following prompts in 1-2 sentences.
https://wp.stolaf.edu/environmental-studies/experiential-component-guidelines/
6.a. Please describe how you will fulfill the experiential component requirement.
6.b. What do you plan to learn in undertaking this project?
6.c. What is the environmental focus of your project?
6.d. How will your project incorporate an out-of-classroom context?
6.e. How do you intend to incorporate academic reflection into your project? What specific readings do you propose to use to stimulate and enrich your academic reflection?
6.f. Please describe the form your final project will take.
6.g. Please indicate the duration of your project, and how you intend to undertake a project of sufficient time and effort.
If designing your own experience, keep in mind the combination of academic study and environmental experiences should approximate the time and effort required for one full course, that is, 140-160 hours.
7. Please indicate the dates of the experiential portion of your project:*
8. Please indicate the date by which you will turn in the summative project to the Experiential Component Committee.
(No later than the last day of classes in the academic term that follows your experience.)

Experiential Component Proposal Form

Bearing in mind the guidelines, please respond to the following prompts in 1-2 sentences.