Service-Learning Course Designation Form for New Applications and Reapprovals

This form serves as a planning and assessment tool for service-learning at VCU and as a means of ensuring the integrity of VCU’s service-learning courses. In addition to basic course and instructor information, the form gathers information about the four major components of a service-learning course: service experience, syllabus, reflection and the final evaluation.

The service-learning course designation process includes 2 easy steps:

Step 1: Complete this form.
Section 2: Email course syllabus to Katie Elliott (elliottkl@vcu.edu) immediately after you complete this form. Syllabus must include the VCU Statement of Service-Learning.

Please note that approved courses retain their service-learning designation for three years, after which we ask faculty to apply for reapproval and provide updated information. This form is used both for applications for new service-learning courses and for those seeking reapproval for an existing service-learning course that is due to renew its designation.

    Section 1: Instructor and Course Information

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