Activity and Award Submission Form | Nipissing University Skip over navigation
[X] close
Switch Contrast

Activity and Award Submission Form

Required fields are marked with an asterisk (*)

About the Supervisor

 *

 *

 *

 *

About the Activity/Role

 *


Position appears next to the Activity Title on students’ RSD to better qualify the specifics of their experience. Examples: Volunteer, Workshop Participant, Award Recipient, Facilitator, Student Leader, etc.

 *

Involvement and Outreach: This category recognizes participation in a volunteer or community service initiative on campus or in the North Bay community. Participation may be individual or as part of a student group or club.

Leadership and Self Development: This category recognizes activities where: (1) a student takes on a leadership role within an on-campus group; (2) a student is in a leadership position that develops and implements activities, programs, or events that are in service of the Nipissing University community; (3) a student participates in a self-development training or a learning experience that contributes to their overall growth and development as an individual or complements their academic learning.

Awards and Recognition: This category recognizes Nipissing University awards bestowed upon students for extracurricular involvement or academic awards not recognized on the Academic Transcript.

 *

Please use this space to tell us which organization or department your activity is a part of. For example, the organization for student clubs would be Nipissing University Student Union. The department for counselling workshops would be Student Counselling Services.

 *


 *

 *

In a short paragraph, describe your activity as you would like it to appear on RSD Student Portal for students to see. Students will see this description online to either (1) identify themselves as participants and add the activity to their record or (2) seek out future opportunities to get involved in your activity.


Identify any restrictions/preconditions before participation (i.e. application required, criminal record check, level of commitment required before receiving RSD approval).
 *

Use this space to list contact information, application information, or website links to more information on how students can get involved in your activity. If your activity is limited to particular participants, please ensure that is clear here or in the restrictions box above.
Involvement Outcomes

Please select 1 to 5 Involvement Outcomes. We recommend choosing the outcomes that are most strongly demonstrated or learned through involvement in your activity. If more than 5 Involvement Outcomes are chosen, we will contact you to discuss your justification before approving the activity. For awards/certificates, please choose Excellence only.

  • Collaboration: Working with others toward a common objective through the sharing of ideas and distribution of responsibilities across team members.
  • Communication: Effectively using verbal, nonverbal and written formats to convey information. Ensuring that information is well organized and delivered in a clear and concise manner.
  • Conflict Negotiation: Effectively managing disagreement, including keeping tension and emotion to a minimum, focusing solely on the issue at hand, balancing the needs and interests of all involved, and finding common ground.
  • Decision Making: Making each decision appropriate to the context it is situated in.
  • Diversity: Promoting one's own and/or others' exposure to people from a variety of backgrounds, beliefs, and/or experiences to enhance group effectiveness and/or group functioning.
  • Empathy: Demonstrating a deep understanding of others by attempting to experience their thoughts and feelings.
  • Ethics: Upholding standards of conduct based on socially accepted values.
  • Excellence: Giving one's best effort.
  • Functioning Independently: Functioning without assistance or guidance from others, such as finding answers to questions on one's own and monitoring the progress and timeliness of one's own work.
  • Goal Setting: Setting goals by laying out targeted measurable objectives that have specified time frames for completion. Laying out a course of action to complete an intended objective by identifying tasks and setting deadlines for completion.
  • Idea Generation: Generating new ideas by expanding one's thinking beyond convention.
  • Inclusion: Engaging in ways to cultivate a welcoming environment that includes others in roles, processes, and experiences to foster a greater sense of belonging and/or a shared commitment.
  • Initiative: Taking charge of a situation, voluntarily and unprompted by others, especially when one has the expertise or opportunity to do so or when others are not able to.
  • Organization: Creating systems and structures that allow one to effectively manage, monitor, and utilize information, resources and materials.
  • Providing Feedback: Offering critiques, confirmations, and/or advice in a manner that is timely and respectful in an effort to improve another person's decisions, effectiveness, productivity, or interactions with others.
  • Receiving Feedback: Considering feedback from others.
  • Research: Using effective research strategies to not just gather any information but the best information.
  • Responding to Change: Quickly, positively, and smoothly transitioning in response to a known or unknown change.
  • Social Responsibility: Acting in ways that benefit, not detract from, the welfare of society and its members.
  • Synthesis: Identifying a central theme by integrating separate elements into one unified whole.

 *
Verification

As the Supervisor of an RSD Activity, I verify that the activity I am submitting is in accordance with RSD policy.

In particular, I understand that this activity must be co-curricular in nature and not required for degree credit.

I understand as a supervisor I am responsible for submitting the RSD Verification Spreadsheet (attendance) for my activity within two weeks of the date it occurs.

Nipissing University
100 College Drive, Box 5002, North Bay, ON, Canada  P1B 8L7
Tel: 705.474.3450 | Fax: 705.474.1947 | TTY: 877.688.5507
nuinfo@nipissingu.ca
Brantford Campus
50 Wellington St.
Brantford, ON, Canada N3T 2L6
Tel: 519.752.1524 | Fax: 519.752.8372

© Nipissing University 2017DisclaimerPrivacyAccessibility