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2021-2022 Community Engaged Learning Course Intake Form
Please fill out this short form to let the Center for Community Engaged Learning know about your upcoming community engaged learning courses. Please fill it out once for each community engaged learning course you plan to teach in academic year 2020-2021, unless you are teaching multiple sections of the same course. This will help us to support you with partnership pairings and financial and course-related resources, and to ensure the timely addition of the SL:Community Engaged Learning attribute to your course.

Please note that the Center for Community Engaged Learning manages the SL:Community Engaged Learning attribute. Your course will be offered through your home department, and must adhere to all norms laid out by the department and by the school. We are available to support you in departmental conversations and in the course approval process; please reach out to Dr. Julie Gafney at with any questions or concerns.
Email *
Instructor Name
Course Title
Course CRN, if available
Which semester(s) will this course run as a community engaged learning course? Please select all that apply.
Is this a new course, or is it an existing course in your department? If it is a new course, please briefly describe the current status of the course in the approval process in your department or school.
Please give a brief overview of the course and its objectives and outcomes. This could be the description that would appear in Courseleaf or on your department's webpage.
Please describe the community-based experience or project you would like this course to take on, and its social justice import.
Do you have your own community partnerships, or would you like to work with the center to identify viable partners and projects for your course?
Clear selection
Does your course include at least two written assignments?
Clear selection
Does your course include a reflective practice?
Clear selection
Is there anything else you'd like to share about your course at this time?
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