The GREAT GEC

Forms

Please use the digital forms found on this page to document any training you have attended or any presentation you have given. By entering information into the digital forms, the data will be uploaded directly to our database.

If, for some reason, you are unable to use the digital forms, PDFs of the forms are also available below for printing and manual completion.  If manual forms are used, please return the completed forms to Connie Sokolowski at 3434 South University Drive, Fort Lauderdale, FL 33328 or via interoffice mail at  3434 UPP.

Completing these forms is important as the information will help us document GREAT GEC's activities in order to produce accurate reports required by the Health Resources and Services Administration (HRSA).

The Community Collaboration Database (CCD) is a way for NSU to keep records of education, service, grant and research projects done in collaboration with community partners.  Thanks to your hard work, NSU is one of 115 U.S. colleges and universities in the country that has earned The Carnegie Foundation for the Advancement of Teaching’s 2010 Community Engagement Classification. The classification acknowledges significant commitment to and demonstration of community engagement, and faculty and staff participating in these community engagement activities should be commended for their efforts in serving the public. 

The template below can be used for gathering the data for input into the CCD . All required fields are marked.  There are certain fields such as “participants served” which will require a number so if you don’t have the exact count, please enter a conservative approximation.  Also, an email address is required for all community affiliates, and they ask that we never use an NSU email unless the organization is actually at NSU.

The form can be completed online; however it must be printed out and send to Connie Sokolowski (3434 South University Drive, Fort Lauderdale, FL. 33328 or interoffice 3434-UPP) for input into the database.

Thank you in advance for your commitment to community engagement, and for the timely completion for entering your department’s/programs’ records.