Agency Information

(Location at which student(s) will serve)

Primary Student Supervisor Contact

Multiple individuals from your organization may have a supervisory role in guiding a student's service learning activities. Please provide contact information for the primary supervisor.

Working with UC Students

Please share one or two sentences about your mission.

Which of these best describe your organization? (Check all that apply.)


Please note that College of Allied Health students have a required class on Mondays or Wednesdays from 3:35-4:30pm and are not available at this time.

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