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Community Partner Request Form

Community Partner Request

Organization/Agency Name *
Primary Contact Person First Name *
Primary Contact Person Last Name *
Primary Contact Person Title *
Secondary Contact Person First Name
Secondary Contact Person Last Name
Secondary Contact Person Title
Primary Phone *
Primary Phone Type *
E-mail address *
Mailing Address
City
State/Province
ZIP or Postal Code
Service Experience Type *
Best time/way for students to contact you: *
Describe UPCOMING and/or New tasks/projects that student volunteers are needed to work on. If possible, indicate the number of volunteers needed or any special skills required. *
What kind of support are you hoping to receive from the Concordia University Office of Service Leadership as a result of your Community Partner Request?
What is one thing students are likely to learn by working on these projects with your organization? (For example: Students will learn about the social and economic factors that contribute to homelessness.) *
What is another thing students are likely to learn by working on these projects with your organization?
What is a third thing students are likely to learn by working on these projects with your organization?

If this is a new partner/agency agreement or is a resubmission caused by significant changes to the agency such that it should be redefined in Concordia University data, please complete the questions below. Otherwise disregard the following questions.

What is your organization's mission?
What days and times can volunteer work be performed?
Can you accommodate small groups of students? What types of projects would be available?
Can you allow students to observe at Board Meetings? Staff meetings?