Service Learning

Faculty | Agency Partners | Date Deadlines | Orientation | Forms | Responsibilities
Volunteer Program | Service-Learning | Student Development

SERVICE-LEARNING INFORMATION FORM

 

* = Required Field
 
Student's First Name:* Last Name:*
Student's ID Number:*    
Street Address:*
City:* Zip Code:*
E-Mail * Phone Number*

The following information requested will provide the Service-Learning Center with valuable information to help further develop the Service-Learning Program at College of the Canyons. No personal information will be given to any third party.
Current Service-Learning Course:

Instructor's Last Name:*

5-digit Section Number:*
Course Name and Number :*
                                      (example: Bio-106, Eng 101, Hist 112, Polisci 150)
Number of hours required to complete this project is .
Community Agency Information
Please select two community agencies from the approved list you would be interested in contacting to complete your service-learning project.

Please use this link to see which agencies have been approved by your instructor:
Link to Instructors page 

First Choice:  
Second Choice:  
 

By clicking the submit button below, I agree to the terms of this agreement, and to complete the required assignments.

I will conduct myself in a professional manner with respect for others, and abide by all College regulations as outlined in the Student Conduct Code.
     

 

 

 

Can't find it? Try the Cougar Search Engine

 

College of the Canyons

Valencia campus:

(661) 259-7800

• 26455 Rockwell Canyon Road, Santa Clarita, CA 91355

Canyon Country campus:

(661) 362-3800

• 17200 Sierra Highway, Santa Clarita, CA 91351


Copyright © 2001-2013 by College of the Canyons. All rights reserved.

Terms under which this service is provided to you.