2019-2020 Community-Based Learning (CBL) Fellowships

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Your first name: *

Your last name: *

Your UR ID: *

Department *

Faculty status/job title

Number of years employed by the university? *

Proposed course title *

Course number *

Expected number of students *

Will this class be offered in fall 2019 or spring 2020? *

How have you participated in CCE programs in the past? *

In one paragraph, please explain why you are interested in becoming more connected to the greater Richmond community. *

In one paragraph, tell us why you are especially interested in participating in a CBL Faculty Fellows group. What positives do you think you would bring to the group? What positives do you think the group holds for you? *

Additional grant money ($500) is available to those interested in developing local community partnerships. If you would like to apply for this grant, you will be required to share with Terry Dolson a completed "Partner Development Work Plan" (to be explained in a May workshop) by June 1, 2019. *

YES, I would like to apply and I agree to share with Terry my Partner Development Work Plan.

NO, I am not interested.

If accepted as a Community-Based Learning fellow, I agree to:

ask my department chair to email Terry Dolson to confirm that my proposed CBL course is scheduled in 2019-2020

answer all Doodle scheduling requests promptly, and to bring my calendar to all meetings

attend the day-long meetings in May and August ($500 stipend per day)

bring completed assignments/syllabus to the August syllabus and assignment workshop

attend all learning community meetings throughout the year ($1000 stipend)

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