Registration Form

Name of engaged activity

Faculty/Department/student:

Description:

Address

Report frequency:

Classification (research, teaching and learning, outreach):

Geographical area:

NWU manager:

Funding required:

Start Date

Start Date: Month

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Start Date: Day

Day12345678910111213141516171819202122232425262728293031

Start Date: Year

Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

End Date

End Date: Month

MonthJanFebMarAprMayJunJulAugSepOctNovDec

End Date: Day

Day12345678910111213141516171819202122232425262728293031

End Date: Year

Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

Type of community interaction:

Campus

Achievements

Short-term results

Medium-term results

Impact

Investment:

Reach:

Submit

Leave this field blank