STUDENT-INITIATED PROJECT PROPOSAL

Christian Service
Student-Initiated Project Proposal

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Student Name:

Student ID#:

Email Address:

Phone #:

Class Standing:

Date:

Service-Learning Project

(Mark appropriate field with an “√” and then specify the particular organization/faculty member/etc. you will be affiliated with)

In affiliation with:

Christian Service Program

Campus Ministries

Student Organization

FacultyStaff

Others

Faculty Project Leader/Staff Mentor

Name:

Email:

Community Partner

Organization:

Physical Address:

Mailing Address:

Contact Name:

Title:

Phone #:

Email:

Brief Project Description

Description:

Date(s) of Project:

Pre-Reflection Questions - Write a paragraph for each question

What is the problem/community need that you’ve identified?

What is already being done to address that need?

What specific skills will you contribute to this project?

What are some of your perceptions or beliefs about the population you will be serving?

What challenge(s), if any, do you face when working with this project?

What do you hope to gain from this experience?

Curricular Correlation

What current or previous courses have prepared you to serve with this project? Please list these below with the most relevant courses first.

Course Code 1

Course Name 1

Semester Attend(ed/ing) 1

Course Code 2

Course Name 2

Semester Attend(ed/ing) 2

Course Code 3

Course Name 3

Semester Attend(ed/ing) 3

Course Code 4

Course Name 4

Semester Attend(ed/ing) 4

Student Signature:

Date:

Pages

Faculty & Staff

STUDENT-INITIATED PROJECT PROPOSAL

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