Civic and Community Engagement (CIVCM) Minor Application

First Name

Last Name

Penn State 9-Digit ID Number

Date of Birth

Your E-Mail Address

Major(s)

Minor(s)

Campus Location

Current Semester Standing

First-year

Sophomore

Junior

Senior

Expected Graduation Date

Is your GPA above 2.0?

Yes
No

CIVCM Essay Requirements

Essay In the space provided, please provide a statement (2-3 paragraphs) that indicates the nature of your interest in the Intercollege Minor in Civic and Community Engagement. Be specific about 1) past experiences that inform your choice of this minor 2) future hopes for putting into practice what you learn in the CIVCM foundations course, fieldwork, related coursework, and your capstone project. Type your statement into word processing software, edit and proofread it, and then paste your statement into the box. Thank you.

	Mailing Address: 234 Sparks Building, University Park, PA 16802
	rae2@psu.edu
	(814) 865-3461