Service-Learning CSER Application
Are you resubmitting a Service-Learning Course from last year?
*
Yes, my course was already approved by LU Serve
No, this is a new course
Are your course code, section numbers, and syllabus the exact same as last year?
Yes, same as last year
No, my syllabus has changed
No, my course number/section number has changed
Name
First Name
Last Name
Email
example@example.com
Subject, Course Code, and Title of Course (e.g. GOVT 325 Legal Ethics)
Which Service-Learning Model are you incorporating into your course?
1. Service-Learning Course Component
2. Service-Learning Course
3. Service-Learning Capstone Course
4. Service-Learning Internship
5. International Internship
6. Community-Based Research
Service-Learning Description (Please explain both how the service opportunity will provide local communities a service or benefit, as well as how the student will draw on their academic knowledge and skills during the service opportunity)
Have you reviewed the Service-Learning CSER Handbook? (Yes required to submit)
Yes
No
Can you commit to being a CSER supervisor and filling out evaluations for students to receive CSER credit? (Yes required to submit)
Yes
No
Can you guarantee that students will only serve with or to the benefit of non-profit organizations? (Yes required to submit)
Yes
No
Do you understand that students may not receive any monetary compensation to be eligible to receive Service-Learning CSER? (Yes required to submit)
Yes
No
Do you understand that Service-Learning CSER courses must receive annual approval from the LU Serve office to maintain CSER eligibility? (Yes required to submit)
Yes
No
Attach course syllabus (required to submit)
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