Public Health GEC: Co-Curricular Community-Engaged Project Plan

Thanks for your interest in the Public Health GEC co-curricular community engagement option. This form must be completed and submitted prior to the the beginning of the proposed project.

Your (student's) name:*
First Last
Phone number:*
Email address:*
Brief summary of your proposed co-curricular project (What? Where? When?)*
Your community partner's name, organizational affiliation, and email address*
Upload a copy of a letter or email from your community partner. In this letter, the partner should identify the organization for which they work and affirm their intention to oversee your work with the organization. The partner should also affirm that they will, at the end of your period of work, confirm the approximate number of hours you worked with their organization and provide any feedback about your performance or impact that they wish to share.
Accepted file types: doc, docx, odt, txt, rtf, pdf, Max. file size: 9 MB.
Phone
This field is for validation purposes and should be left unchanged.