Student Services - Employment - Service Learning - Service-Learning Partners Application

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Volunteering

Service-Learning Partners Application

Printable Version

The Service-Learning program at Clark College is committed to building communities and enhancing students' personal growth and attainment of their goals by integrating community service with academic courses. By connecting courses with local issues and organizations, faculty give students the opportunity to reflect on social problems and solutions and to apply their course learning as engaged community members.

Organization Name:
Address:
Volunteer Supervisor:
Title:
Phone:
Fax:
E-mail:
Web Address:

Mission Statement:

1. Has your organization provided service-learning placements to Clark College
students before?
YES NO
2. How many service-learners can your organization accommodate?

3. How many hours can your organization provide per quarter (11 weeks long) per
student? 5 10 20 Other
4. Is your organization accessible by public transportation?

YES NO
MAX Bus #
Within walking distance from Clark College
Other

5. Does your organization provide volunteer insurance for service learners?
YES NO
6. What types of work will service-learners perform? Please describe briefly and
attach job descriptions.

7. Please describe the supervision the service-learner will receive.

Organization Requirements:

1. What is the minimum age requirement?

2. Is there a minimum time commitment? If yes, please explain the expectations.

3. Days/Hours when service learners are needed:

4. Is previous experience in a related area required? Are you seeking special
skills? If yes please describe.

5. Is orientation/training required? If yes, please describe.
YES NO

6. Can the organization accommodate student groups?
YES NO

Please check one (1) category that best describes your organization's primary focus.

Arts & Culture Children/Youth Health

Conflict Resolution Disabilities Human Services

Environment Gay/Lesbian Issues Mental Health

Animals Homelessness/Hunger Senior Citizens

HIV/AIDS Legal/Victim Literacy

Immigrants/Refugee Assistance Recreation Education

Nonprofit/Business Management Computer/Technology Women

I would like our opportunities to be posted on Clark College's volunteer list as well as Service-Learning Partner's list.

Additional Comments:

webmaster@clark.edu
Non-discrimination Policy