201H Leadership Pre-Approval Form | Honors Program

All Honors students (who are on catalog year 2020 and later) are required to complete a UHON 201H course. This zero-credit course is graded pass/no pass and is designed to help you "get your feet wet" with experiential learning. One option for fulfilling this course requirement is to pair it with a campus leadership role. Generally, we are looking for leadership roles that involve a minimum average of 3 hours per week, and allow opportunities for making a substantive impact on your peers through your leadership. There are several leadership roles we have already identified as qualifying, including:

Strengths Coach for the Clifton Strengths Institute
Wellness Coach for Big Red Resilience and Well-Being
Mentor for NHRI (Nebraska Human Resources Institute)
Resident Assistant
Executive Position in a Greek Chapter

To enroll, you must first submit this form and provide documentation of your acceptance into the relevant role. The Honors Program staff will review your application and, if approved, send you information on enrolling in the correct section of UHON 201H for the relevant term.

You may only enroll in 201H for one term per leadership role (and only one enrollment per semester). Additionally, you must be enrolled during the term you are in the leadership role. Your enrollment will grant you access to a Canvas course page with further information on expectations and assignments you must complete during the semester as part of UHON 201H.

NUID Required

First Name Required

Last Name Required

Email (@Huskers address) Required

Major(s): Required

Minor(s):

Leadership Role

Resident Assistant

BRRWB Wellness Coach

Clifton Strengths Institute Strengths Coach

NHRI Mentor

Other (describe below)

If you chose "Other," please explain.

Term Required

Start of Activity Required

End of Activity Required

Briefly summarize the scope and responsibilities of the leadership role. Required

How many hours per week will you dedicate to this experience? Required

How many total hours will you dedicate to this experience? Required

List 3 goals that you have for this experience. Required

What do you want to get out of this experience? Think about skills or specific experience.

REQUIRED: Please upload the appropriate documentation to confirm your participation in the experience. For example, an acceptance letter or email. Required

One file only.
20 MB limit.
Allowed types: gif, jpg, png, pdf, doc, docx.

Please provide contact information for your supervisor.

Supervisor Name Required

Title Required

Supervisor Email Required

Supervisor Phone Required

Statement of Understanding

I understand and agree Required

I attest that all information in here is true and accurate to the best of my knowledge, and that I am the student who is submitting this pre-approval form. I understand that by submitting this form, I am agreeing to participate in the UHON 201H Leadership in Action class for the Leadership Role that I listed and that I will participate in and submit the requested work, as outlined on the class Canvas page. If I determine I am unable to meet the class obligations, I will notify the instructor and withdraw from the class ASAP. I understand that I must adhere to the UNL academic calendar registration periods, and if the experience is incomplete or does not happen, that I must drop the class before the last day of late registration.