Community Based Learning Programs
Course Proposal Form

CONTACT INFORMATION:

Faculty Name (required):

Email (required):

Phone:

COURSE INFORMATION:
Please enter the information associated with your course. This information is required for the CBL staff to best support your course needs.

Semester:

Year:

Course ID#:
Course Section:
Course Name:

Course Location:
Course Day/Time:

Anticipated Enrollment:
Course Cap:

COMMUNITY BASED LEARNING PLACEMENT INFORMATION:
In an effort to secure the best community based learning placements associated with your course, please click on the link below for a list of our participating Communmity Partners then enter the agencies that best match the learning goals of your course. The Community Based Learning Programs staff will do their best to accommodate your preferences, however some agencies are reserved for specific courses in advance.

CBL Community Agency Directory

Agency #1:

Agency #2:

Agency #3:

Agency #4:

Agency #5:

Agency #6:

COURSE SYLLABUS:
Community Partners are defined as co-teachers in your students learning. To assist the Community Partner with understanding the purpose and learning goals of your course, please attach a syllabus with your proposal request. If requested, your syllabus is shared with the Community Partner so they can enhance the students experience at their agency.

Please attach your course syllabus here:

Thank you for you interest in offering a CBL placement with your course. Please submit this form and someone from the Community Based Learning Programs will be in touch with you shortly.