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Organization Info
Organization Name
Organization Mailing Address
City
State
ZIP
Organization Telephone
Organization Fax
Organization Website
Hours of Operation
Volunteer Coordinator
Volunteer Coordinator Phone Number
Volunteer Coordinator Email
Contact Person
(if different from above)
Contact Phone Number
(if different from above)
Contact Email Address
(if different from above)
Briefly state the purpose and/or mission of your Organization
People Served and Issues Addressed
Populations / Groups Served
(Check all that apply)
All
Adults (18+)
Gay/Lesbian/Bisexual
Infants
Men
Mentally Challenged
Older Adults
Parents
Physically Challenged
Preschool (< 5) Children
Teen (13-17) Boys
Teen (13-17) Girls
Women
Youth (5-12) Boys
Youth (5-12) Girls
Other
Issues Addressed
(Check all that apply)
Aging/Senior Issues
Alcoholism/Drugs/Substance Abuse
Animals
Arts/Culture/Music/Museum
Civil Rights
Counseling/Mental Health
Computers/Technology
Criminal Justice
Crisis/Emergency
Day Care
Disabilities Service
Disaster Relief
Diversity/Empowerment
Domestic Violence
Education/Literacy
Employment
Environment
Financial
Health/Medical
Homelessness/Housing
Horticulture/Gardening
Hunger
International/Multicultural
Languages
Legal Issues/Services
Low Income
Men's Issues
Mentoring
Politics/Advocacy
Sports/Recreation
Wildlife
Women's Issues
Other
Other Populations (define below)
Other Issues (define below)
Community Needs
Indirect Services
(Check all that apply)
Conducting statistically valid and reliable surveys
Creating menus, planning a health/nutrition fair or providing nutritional consultation
Planning and implementing interior design
Designing an organizational logo
Designing signs, brochures, posters, etc.
Designing, building, and/or updating websites
Outlining a business or marketing plan
Planning an Environmental Fair or Earth Day event for a school or community
Assisting with fund raising
Writing grants, or researching sources for grant funding
Assisting teachers with developing a multicultural curriculum or school event
Analyzing finances/group spending (to help save money and possibly profit from new spending methods)
Creating a management plan for a new program (such as recycling, etc.)
Writing an organizational history for your organization
Photograping services
Giving persuasive speeches to government or civic organizations on behalf of your agency
Providing color-coded mapping of the city/region accoding to criteria you select (GIS)
Analyzing local media coverage concerning issues (or media bias) related to your clients or agency
Creating an interactive outdoor play-scape
Direct Services
(Check all that apply)
Tutoring and/or reading to children
Providing music/art/theatre activities for clients
Conducting an exercise/fitness class
Educating clients about their legal rights and civil liberties
Educating adult clients about their children's literacy
Mentoring clients
Spending recreational time with children or seniors
Educating clients about infant care
Assisting clients with tax preparation
Please identity any other research projects or services for which your agency may need assistance. A need of your agency may be an area of speciality for faculty and a way for students to learn at Marshall University. Please list your needs and the faculty and staff with the Service Learning Program will match you with the appropriate discipline.
What questions do you have for the Service Learning Program?
Online Account Information
Please select a username for your online account. Usernames should consist only of alphanumeric (a-z, 0-9) characters.
Please select a password for your online account. Passwords should consist only of alphanumeric (a-z, 0-9) characters.
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