New Community Partner Interest Form

Community Partner Information Intake Form

Community Organizations who are interested in working with the Service Learning Department to bring Service Learning Students to volunteer at their organization are asked to fill out this form.

Title of Organization*
Website
Main Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Is your Organization a Non-Profit Organization?
- Yes
- No
Please describe you organization in 1 or 2 sentences.*
Please Include the Contact Information Students should use when applying to volunteer with your organization
This information will be published for students to see on on the List of Community Partners
Contact Person*
First Last
Phone Number
Email
Volunteer Roles: What needs do you have that Palomar Service Learning Students could help with?*
Include possible duties will help students see if your site is right for them
Days and Times of Service (Weekdays? Evenings? Weekends?)*
Do you need volunteers during the summer?*
- Yes
- No
Procedure for Service (include the steps for service—who to contact, how to contact)*
Volunteer Requirements (please note cost to student if applicable)
Minimum age, Required number of hours, TB test, Background check, interview, etc.
Volunteers are needed at the following site(s)*
Can a student take public transportation to get to your site?*
- Yes
- No
If the person filling out this form is different than the name of the person who will be working with Service Learning Students, please include your information here (this information will not be given to students).
Name
First Last
Phone
Email
Questions, Comments, or Additional Information

Service Learning

Service Learning

Community Partner Information Intake Form

Please Include the Contact Information Students should use when applying to volunteer with your organization

If the person filling out this form is different than the name of the person who will be working with Service Learning Students, please include your information here (this information will not be given to students).

Contact Information

Service Learning