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University of Richmond

Justice and Civil Society
Prospective Service-Learning Site Application

* Indicates a required field 

* Student Name:
* Date:
* Site:
* Contact Person:
* Address:
* City:
* State:
* Zip:
* Email:
* Telephone:

* Duties student will be performing at the service-learning site:

* Proposed Schedule

Student will perform service
on the following day(s) of the week:
at the following times:
beginning the week of:

As site supervisor for this student, I understand that the student must be involved in direct, face-to-face contact with the person or group being served and that the student must complete between 24-30 hours of voluntary (unpaid) service at this site during the semester in order to receive academic credit.

If you have any questions, please contact:

Dr. Kerstin Soderlund
Associate Dean for Student and External Affairs
Jepson School of Leadership Studies
University of Richmond, VA 23173
Phone: (804) 287-6082
Email: ksoderlu@richmond.edu