ChamPIOns in the Community Service-Learning Request Form

Thank you for you interest in the ChamPIOns in the Community initiative supported by the L&C Volunteers Program and L&C Athletics.  

This form is intended for student-athletes, coaches, and athletic administrators who are interested in co-hosting service-learning opportunities in partnership with the L&C Volunteers Program and the Center for Social Change and Community Involvement.

All fields marked with asterisk (*) are required.

required text field
required text field
required e-mail address field
text field
required checkbox field
Role*
required text field
required checkbox field
Areas of Interest (check all that apply)*
required text field
required checkbox field
Type of Service-Learning (check all that apply)*
required checkbox field
Availability (check all that apply)*
required checkbox field
In-person or Remote*
required text field
Type n/a if there is no preference
required text field