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Faculty Expression of Interest Form for Community-Engaged Education

To best support you and your students, we ask that all faculty/instructors who wish to explore academic placements or community-engaged projects in an upcoming course (with the support of EE), please complete and submit this form by the following dates:

  • Monday, June 19 (for classes commencing September 2017)
  • Monday, October 16 (for classes commencing January 2018)

Once we have received your completed form, an EE staff member will contact you directly to follow up to your request in more detail and discuss feasibility and next steps.

Courses do not need to be fully planned to submit this form, but we do need to know who may be interested in working with us in the coming terms to allow enough time for planning and outreach. If you are in the exploratory stages of planning and would like to meet to discuss options before completing this form, please email Ruthanne Talbot at by the above dates.

*NOTE: This on-line form cannot be saved. You must complete and submit it in one instance.

Which term is the course offered?  
Which type of placements/projects are you considering?