EA Program's e-Hour Entry Form (ver. 2019)
Date of the START of Event/Activity/Experience *
If an activity your are requesting to receive eHours took place over multiple days (for example: a multi-day camp), you must submit a new form for each day of the camp because you must provide a summary of the learning experiences for each day of the activity.
MM
/
DD
/
YYYY
How many days was the activity/event? *
You cannot have more that 7 DAYS in one eHour online Entry Form.
Your answer
Number of eHours (round to the half hour, 0.25 hours) *
Only include hours of active participation in Science, Technology, Engineering, or Mathematics (STEM) related activities OR specific EA Department directed activities. You may not submit time for hours sleeping or traveling.
Your answer
Student First Name *
(please enter the name found in the school's data system - legal name)
Your answer
Student Last Name *
Your answer
Student ID # *
Your answer
Select Student's Year of Graduation *
For the 2019-20 School year: (Seniors-2020; Juniors-2021; Sophomores-2022; Freshman-2023)
Class or EA activity connected to this experience *
Required
Brief description of the event/activity/experience: What did you do? *
NOTE: If you participated in a job shadow, in addition to this form you must submit a business card to Mrs. Kruse within 10 days of the experience to receive credit for the eHours.
Your answer
Supervising Adult *
If your activity was NOT supervised by one of the EA faculty, you must complete the following question which asks for contact information of the adult supervisor or adult at the event who can verify your participation.)
Required
Provide contact information for the supervising adult if you selected "other" for the last question.
Full Name of adult, Company or Organization, Job Title, phone#, email. If you went to some type of presentation you must provide SOME type of way to verify you were there.
Your answer
Reflection on what you experienced and how this activity connected to what you are learning in ONW classes or what goes on in the work world. *
Please provide a brief reflection (minimum 2 well structured and grammatically correct sentences) of what you learned as a result of participating in this activity.
Your answer
Enter an email address if you would like to receive a confirmation that your eHours have been entered.
If you want multiple email addresses please separate each address with semicolons ( ; ). Thank you.
Your answer
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