Faculty Service-Learning Consultation Request

Full Name *

Email *

Campus Phone/Extension *

Department *

Office (Building/Room) *

Service-Learning Experiernce *

Previous, non-CSUF service-learning teaching experience

Currently teaching or previously taught service-learning at CSUF

No prior experience teaching service-learning

What would be a convenient meeting day & time (list all that apply) *

Service-Learning Course(s) (Major/#/Title) that you would like to discuss

What semester will the class be offered (Term YY)?

Particular items you want to discuss *

General introduction to Service-Learning

Campus Policies and Procedures

Community Partner Sites

Curriculum/Syllabus

Reflection assignments - developement

Reflection assignments - assessment

Using Faculty Interface (CalStateS4)

Other

Particular items you want to discuss: Other *

Please define what other service-learning item you wish to discuss

Is there a particular issue or population you intend your students to work with, or experience you intend for them to have?