Service Learning Course Development Stipend Application

For Civic Engagement

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	Service Learning Course Development Stipend Application
Service Learning courses are at the heart of the University Project. To apply for a $250 Service Learning Course Development Stipend, please complete the form below:

Name:
Email:
Phone #:
Course Name:
Course Number:
If available, please upload the syllabus for the course.

Have you Ever Taught a Service Learning Course at UVU before?
Yes No
If Yes, have you served as a Service Learning Fellow?
Yes No
Would your students work with a single organization or multiple organizations?

Single Multiple Unsure

If known, please indicate the organization(s) you plan to work with.

In which area(s) will your students work? (Check all that apply.)
Kindergarten - 6th Grade Literacy 7-12th Grade Literacy K-6th Grade Math Education 7-12th Grade Math Education K-12th Grade English Language Learners K-12th Grade Writing K-12th Grade Science, Technology, Engineering, or Math Education

Other:

University Project for Civic Engagement : Brian.Birch@UVU.EDU | 801.863.8361 | ROOM BA-216C