2019 Summer of Service Application

Application 2019

Thank you for your interest in the Summer Service-Learning Assistantship. Please answer the following questions to aid us in selection and placement of students into community settings.

Question Title

* 1. Your name

First:

Last:

Question Title

* 2. Some of our community partners have identified specific needs or projects for which they would appreciate support. How interested are you in the following defined placement opportunities? (Note: You will have opportunity for open-ended responses on the next page.)

	Very	Somewhat	Little	Not
Worcester Public School Nursing: Flu Clinic	Worcester Public School Nursing: Flu Clinic Very	Worcester Public School Nursing: Flu Clinic Somewhat	Worcester Public School Nursing: Flu Clinic Little	Worcester Public School Nursing: Flu Clinic Not
Worcester Healthy Baby Collaborative: Baby Boxes	Worcester Healthy Baby Collaborative: Baby Boxes Very	Worcester Healthy Baby Collaborative: Baby Boxes Somewhat	Worcester Healthy Baby Collaborative: Baby Boxes Little	Worcester Healthy Baby Collaborative: Baby Boxes Not
Worcester Refugee Assistance Project/ African Community Education program	Worcester Refugee Assistance Project/ African Community Education program Very	Worcester Refugee Assistance Project/ African Community Education program Somewhat	Worcester Refugee Assistance Project/ African Community Education program Little	Worcester Refugee Assistance Project/ African Community Education program Not