Service Learning Community Partner Interest Form Service Learning Community Partner Interest From Your Organization's Name* Program's Name (If applicable) Street Address* City, Street, and Zip Code* Organization's Website/Facebook (if available) Primary Contact's Name (First and Last)* Primary Contact's Position Primary Contact's Email Address* Primary Contact Phone Number* Please share any previous partnerships you have had with UConn (who, when, the extent of the partnership), if any.Please describe briefly that type of project(s) with which you would like a course to collaborate?*If applicable, select the issue area that best matches your hope for this project. Agriculture Community and Economic Development Children/Youth Disaster Relief Education Entrepreneur/Business Elder Care Ex-Offender Reentry Environment Health Hunger Homelessness Housing Neighborhood Revitalization Public Safety Technology Tribal Veterans Additionally, please select any specific skills you hope would be part of this partnership. Architectural/Urban Planning Archiving/History Business/Entrepreneur Coaching Communications/Marketing Community Organization Computers/Technology Counseling Education Fine Arts/Crafts Foreign Language Skills First Aid Fund raising/Grant Writing Law Medicine Mentoring Non-Profit Management Public Health Public Speaking Social Services Teaching/Tutoring Urban Planning Writing/Editing Youth Development Please, list any UConn Faculty/Staff members you've already connected with about this project. We know that often, the work done in communities is not just one organization or program. What other additional partners (community-based, government, or private) could be added to this project, if any? NameThis field is for validation purposes and should be left unchanged.