Project Request Form
Our goal is to find quality service-learning opportunities for University of Minnesota Crookston Students. Quality projects meet specific educational objectives of the course. Requests that do not fit the curriculum objectives will be considered for a club or individual community service activity. We will not be able to fill all requests.
Referral Agency
Name of Agency/Organization *
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Contact Person *
Your answer
Contact Phone *
Your answer
Contact Email *
Your answer
Is it okay to publicize your contact information while advertising this service opportunity?
Project Information
Event Name
Your answer
Project Date
MM
/
DD
/
YYYY
Project Location
Your answer
Is this project a fundraiser? If so, what underserved population does the fundraiser benefit?
Your answer
For what issue does this fundraiser raise awareness?
Your answer
Project Description
Your answer
How many students will you need or would your project require?
Your answer
Project Start Time
Your answer
Project End Time
Your answer
Is there a particular class (www.umcrookston.edu/classschedule) or club (www.umcrookston.edu/clubsorgs) you believe would be best suited for your project?
Your answer
Is this a one-time project or an ongoing need?
Please provide us with any additional information that might be helpful with making this project happen:
Your answer
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