Service-Learning Placement Request Form

Does your class have a service-learning component that requires you to perform fieldwork with a local volunteer agency?  We can help you locate service placements in the Dallas-Fort Worth area based on your interests. 

Please complete and submit this form to transmit your request to our office.  We will e-mail you contact information for the top five agencies that fit your interests so that you may arrange your service placement accordingly.  Please allow two business days for us to process your request.

First Name: Last Name:
Student ID Number: SMU E-mail Address:
Year in School: Major:
       
Course Prefix: Course Number:
Course Section: Course Title:
Instructor's Name:    

Please indicate the type(s) of agencies for which you would like to volunteer:

Abuse/Domestic Violence Health/Healthcare Agencies
Adoption  Homelessness
AIDS/HIV Hospice/Home Support
Animal Care/Advocacy Hospital Services
Arts/Culture Immigration/Refugee Assistance
Basic Needs Assistance Legal Issues
Community Development/Revitalization Literacy
Counseling/Crisis Assistance Mentoring/Youth Activities
Disabilities (mental and physical) Nonprofit Administration
Education Recreation/Sports
Employment/Job Training Senior Citizen Services
Environment Substance Abuse Prevention
Ethnic/Cultural Issues Teen Pregnancy/Parenting
Food Assistance Violence Prevention
       
Please indicate the populations with whom you would like to work:
 
Animals Families
Infants Senior citizens
Children (pre-school) Adult women
Children (elementary school) Adult men
Teenagers General public

Please indicate any other areas of interest that may help us find a suitable placement for you:



 

 
Leadership & Community Development is a department in the Division of Student Affairs.