| Consulting/Advisory | Data to enter |
|---|---|
| Role | Extension consultations – add a descriptor if applicable |
| Organization Type | [leave blank] |
| Partner/Organization Concentration | [leave blank] |
| Organization | [leave blank] |
| Location | [leave blank] |
| Hours Spent Per Year | Estimate time involved for the year |
| Activity Description | List total # of consultations List total # of clients/contacts Briefly describe consultations for the year Faculty/Specialists may choose to:
|
| Start Date | 1 Jan 20## |
| End Date | 31 Dec 20## |
| URL | [leave blank] |
| Primary Scholarship Type | Select as appropriate |
| Secondary Scholarship Type | Select: Extension Select any others as appropriate |