Academic Service-Learning Faculty Fellows Application

Thank you for your interest in the Academic Service-Learning Faculty Fellows Program. Please complete the questions below. If you are unsure, please indicate this since you are not required to have a service project or community partner prior to the program.  

Name

Question Title

* 1. Name

Phone Number

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* 2. Phone Number

Email Address

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* 3. Email Address

College or School

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* 4. College or School

Department

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* 5. Department

Please indicate if your Academic Dean endorses your participation in the
Academic-Based Faculty Fellows Program.

Question Title

* 6. Please indicate if your Academic Dean endorses your participation in the
Academic-Based Faculty Fellows Program.

Please include a course or list of courses for which you would like to develop or integrate academic service-learning.

Question Title

* 7. Please include a course or list of courses for which you would like to develop or integrate academic service-learning.

If you have a community partner or placement in mind, please identify this
placement and indicate where it is located.

Question Title

* 8. If you have a community partner or placement in mind, please identify this
placement and indicate where it is located.

Please describe a possible service-learning project for your course and how your students and community partner(s) may benefit from the service learning experience.

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* 9. Please describe a possible service-learning project for your course and how your students and community partner(s) may benefit from the service learning experience.

Please discuss why you are interested in learning about the development and teaching of academic service-learning courses.

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* 10. Please discuss why you are interested in learning about the development and teaching of academic service-learning courses.

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