CEL 301: Community Perspectives & Experience
Please answer the following questions to submit your application. This application information will be forwarded to the community partner organization that you will be interviewing with on September 8 in Butler Library 210.
What modes of transportation do you have access to?
I rely on public transportation
I have access to a personal vehicle
If "other" please describe your mode of transportation:
Aside from English, are there any other languages that you speak? List other languages below.
Academic / Work Information
*If Individualized Studies or Undeclared, please describe your concentration or interests.
Current Class Standing
If given the choice, which environment would you prefer:
Behind the scenes (ie: research, creating flyers, event planning, fundraising, volunteer recruitment, advocacy/policy work, donor relations, etc.)
Direct interaction with community members (ie: serving meals, leading an afterschool program, gardening, etc.)
A combination of behind the scenes tasks and direct interaction with people
Check All That Apply
In which focus areas are you interested in serving:
Sustainabilty (environmental, economic, or organizational)
Blood & Health Services\Nutrition
Homelessness and Vulnerable populations
Youth (School-based; afterschool and community programs)
Women & Youth services
Recruiting others to volunteer/engage in the community
Other (please describe below)
Check All That Apply
If you answered "other," please describe your service interests below.
Select what tasks do you know or believe you would enjoy doing:
Researching information, policies, etc.
Attending meetings in the community & taking notes
Greeting community members/clients
Working with small groups of youth/students
Leading a workshop/lesson
Creating flyers, brochures, social media content
Judicial/Criminal Data (confidential)
Have you ever been involved with the college judicial system or convicted of a crime?
If you answered "yes," please explain the nature of the violation and any sanctioning that occurred by the college or the court system.
Fall 2016 Availability
Please list your weekly availability on the following days for the Fall 2016 semester between the hours of 8:00am – 9:00pm.
*This section allows the instructors to match you with a community partner that meets your interests and schedule. Please base this off of the times that you DO NOT have class, work or are engaging in other extracurriculars*
**Note having at least 10 hours of availability between the hours of 8:00am-6:00pm, Monday-Friday, will allow you the greatest ease to complete your 100 service hours.**
Please describe any other scheduling issues or concerns:
Short Answer Section
Please use the space provided to answer each question.
1 a. Have you participated in any service-learning or volunteer activities?
1 b. If yes, what community organization(s) have you served with and what have you done?
1 c. Please explain why you enrolled in this course?
2. What skills, experience, qualifications, etc. do you have that you think you will be able to contribute to your community partner organization?
(ex: previous volunteer with a youth summer camp; CPR certification; took Nutrition for Senior Citizens last fall semester)
3. What specific things or skills you are hoping to learn this semester in class or with your community partner organization?
4. What do you think will be your biggest challenge this semester with this course and community service-learning experinece?
Is there anything else that you would like us to know?
Do Not Fill This Out