Leadership Credit

Filling out this form does NOT mean you are registered. Once we have received your information, we will send you the CRN and your instructors' information. You must register by the second Monday of the term.

There are written assignments due as part of this credit. The Leadership Credit is meant to honor the learning that happens as a student leader at Portland State University. We have found that reflection has a large impact on what students get from their leadership opportunity, therefore there are written assignments and meetings with your instructor (most commonly your adviser) as part of this credit.

1) Name

2) Student ID

Format: 999999999

3) Phone number

Format: 999-999-9999

4) E-mail

5) Please select the credit option that you prefer. Choose only one.

The notation on your transcript is free and does not count towards your total credit load. The credit options should be for an average of four hours per week per credit on a dedicated project or position.

	1 credit	2 credits	3 credit
499	499 1 credit	499 2 credits	499 3 credit

6) Please let me know what leadership position or project that you have. If you are doing this credit for leadership in a student group, please let me know what student group you are in.

Thank you for your interest in the Leadership Credit. Please contact SALP if you do not receive the CRN and instructor information by the end of the first week of classes. We will begin sending out the CRNs the week before classes start. Your first assignment is due by the second Monday of the term.