(old) Service-Learning Project Request (Student) **moved to MS Forms as of August 2023, go to: Service-Learning Project Request Form

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This student form collects all information about a proposed service-learning project and asks students to commit to the Service-Learning Program requirements. After submitting this form, students will receive an emailed copy of all responses (to Wake Tech email address provided) and need to forward this to their instructor and community partner(s) for their records. Please use a Wake Tech email address below. Thanks!

Email *

Don't forget to use your Wake Tech email address above- Thanks!

(ending in @my.waketech.edu)

First Name *

Middle Initial

Last Name *

Phone Number *

Course prefix and number for service-learning project (for example: MAT 171) ..... OR just the prefix if it's a general "program" service-learning project (for DEN or NUR, with approval) *

Course section number

Instructor's Last Name *

Instructor's First Name *

Instructor's Email Address *

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