University District Service-Learning Form
Please complete information below:
Email address *
Last Name *
First Name *
Phone: *
555-555-5555
Department *
Position Title *
What objectives are you looking to obtain from a service-learning project?
What type of project are you interested in?
What class(es) are you looking to implement service-learning?
List Course Name(s)/Undergraduate or Graduate/number of students enrolled
Describe the extent of student involvement.
please specify other below:
How long would your class(es) be available to complete a service-learning project?
please specify other timeline:
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