Registration Fall 2021

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Chaminade Student ID Number *

Last Name *

First Name *

Email *

Phone Number (where you can actually be reached) *

Your instructor/s must approve your service-learning plans for credit in each specific course. The connection of service with academics is key. If you have secured approval, please enter your course information here.

Instructor's Name (Last, First) *

Course Code/Number (ie. SO200) *

Course Title (ie. Intro to Sociology) *

Are you doing service-learning for more than one instructor? *

Yes (Proceed below)

No (Skip the next two fields; proceed to the "Student Information" section)

If you are doing service-learning for more than one course, be sure that EACH instructor knows about ALL the other courses for which you’re “counting” your S-L activities. They may require additional assignments/hours. Enter additional courses here.

2nd Course Info: Enter the instructor's name, course code, & course name. For example: "Dr. John Doe, EN102, Expository Writing"

3rd Course Info: Enter the instructor's name, course code, & course name. For example: "Dr. John Doe, EN102, Expository Writing"

STUDENT INFORMATION

Age *

Gender *

Ethnicity/ies *

Major *

Number of years at Chaminade *

Class Standing *

Freshman Day Undergraduate

Sophomore Day Undergraduate

Junior Day Undergraduate

Senior Day Undergraduate

Evening/Online Program (formerly known as PACE)

Graduate Student

Languages spoken FLUENTLY other than English (list all)

Have you done service-learning at Chaminade before? *

Yes

Have you done service-learning at any other school? *

Yes

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