SERVICE LEARNING INTEREST FORM
Career Services Welcomes the opportunity to collaborate with faculty, staff, student and community partners on establishing Service Learning opportunities at Phoenix College.  Please complete this interest form so that we can better service your needs.

Correo electrónico *
1.  Instructor *
2.  Are you currently completing a Service learning within your current curriculum?   *
3.  Please select type of service learning you offer or would like to offer your students.  Please view our service learning folder for a detail description of each module) *
Obligatoria
4.  Class # (s) *
5. Course Name (s) *
6.  Semester and/or Dates *
7.  Times *
8.  Number of students registered *
9. Please list the community partner(s) you are working with or would like to work with.   *
10.  Approximate number of hours to complete *
11. Please give a project summary of your current and/or a description of your future desire to incorporate service learning in your course(s) curriculum. *
Thank you for your response
For more information
Contact
Alicia Middleton   E-mail: alicia.middleton@phoenixcollege.edu 
Office: (602) 285-7840   
Location:  Hannelly Center - Lower Level (Counseling Suite)
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