Moravian College: Community Service: Service Learning Interest Form

SERVICE LEARNING INTEREST FORM FOR FACULTY

For faculty interested in service learning opportunities for their students.

Instructor Name:

Email Address:

Campus Extension:

Office Location:

Department:

Course:

Brief description of course:

Semester:

Number of students enrolled in course:

Number of students expected to participate in service learning project:

Type of service learning project desired (if known):

Organizations you would like to work with (if known):

Goals and objectives of service learning project:

Additional comments:

Thank you for completing this form! Someone from the Community Service Office will be in touch with you shortly to discuss your service learning project.