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Participating Agencies Form

This document outlines a community service programme for university students. It requests information from participating agencies, including agency name and contact details, goals and objectives, name of student supervisor, nature of required service including number of students and time commitment, willingness to facilitate ongoing student participation, training provided to students, and willingness to provide recognition for students who satisfactorily complete their responsibilities. The purpose is to coordinate student volunteer placements that are beneficial to both community agencies and students' learning and development.

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Sundar Guyah
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24 views

Participating Agencies Form

This document outlines a community service programme for university students. It requests information from participating agencies, including agency name and contact details, goals and objectives, name of student supervisor, nature of required service including number of students and time commitment, willingness to facilitate ongoing student participation, training provided to students, and willingness to provide recognition for students who satisfactorily complete their responsibilities. The purpose is to coordinate student volunteer placements that are beneficial to both community agencies and students' learning and development.

Uploaded by

Sundar Guyah
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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University of Technology, Jamaica

Community Service Programme 1001


(CSP1001)
PARTICIPATING AGENCIES
1.

Name of Agency & Address:


________________________________
(Fax, Telephone # & E-mail)
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

2.

Brief Summary of Goals and Objectives of Agency:


________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

3.

Name of Supervisor:

4.

Nature of Service Required:

_____________________________________

How many students: ________ Times: _________ Days: ________


Do you need students in the Summer (June July): ______________
If yes, how many? _________
5. Kindly indicate if you are willing to facilitate our students on an ongoing basis
Yes
6.

No

Please describe the training offered by the agency to students?


___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
7. Recognition of Students
Agencies are asked to provide a suitable mode of recognition (a
certificate is suggested) for students who work with the agency and
have carried out their responsibilities satisfactorily.
Are you willing to do this? Yes

No

Supervisor __________________ Signature:______________ Date:________

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