Community Impact Residency Program - Student Application 2022-2023
Use this form to apply for CSPL 290 & 291. Applications will be reviewed on a rolling basis. Apply soon, as partner organizations are limited.

Before submitting your application, visit https://www.wesleyan.edu/jccp/communityimpact.html to learn more about the course. Email Clifton Watson if you have any questions: cnwatson@wesleyan.edu

Once students apply, they will be matched with a local organization.
Sign in to Google to save your progress. Learn more
Email *
Name *
Class Year *
Why are you interested in this course? (200 words or less)
What do you hope to gain from this experience? (100 words or less)
Is your interest in the Community Impact Residency (CSPL 290-291) related to graduate school or professional aspirations? If so, please explain:
Are you interested in working in any of the following fields?
Please describe your interest in those fields.
What skills do you have to offer partnering organizations? (100 words or less)
Select skills you can apply towards an organization's project:
What areas interest you? You may choose multiple.
Name and email of a reference - either faculty or professional
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wesleyan University. Report Abuse