Citizen 21 Request Form
For more information about this program go to https://sites.lib.jmu.edu/citizen21/ 

The purpose of this survey is to gather information about your course and needs.

**Please note that all faculty are invited to put in a request, but, depending on the volume of requests, we may not be able to grant all requests.**

If you have any questions, please feel free to reach out to Nicole Wilson (wilso2rn@jmu.edu). After you complete the form, Frances White, a JMU Libraries' Graduate Assistant, will be in contact with you.
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Email *
Faculty Name *
Course Number (i.e. PSYC400) *
How many students will participate in the Citizen 21 course? *
Citizen 21 course of interest *
Required
At what point in your course would you like your students to participate in the Citizen 21 course? *
Please briefly describe your course and assignment and how the requested C21 course fits into your assignment. *
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