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ServeWyoming service learning project application

Name * Required
First Last
Phone * Required
Email * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Student ID # * Required
Date of Birth * Required
MM slash DD slash YYYY
Program of Study * Required
Faculty/Advisory Contact * Required
Service Learning Class (if applicable)
What areas of interest and/or expertise could you bring to Service Learning?
Please select all that apply. We will make every effort to find the best fit for your interest and skills.
- Finance and accounting
- Human resources
- Fund development
- Information Technology
- IT - Technology assessments
- IT - Database use and design
- IT - Networking/email
- IT - Web development and maintenance
- IT - PC hardware setup and configuration
- IT - General application usage
- Graphic design
- Marketing, public relations
- Program design and evaluation
- Nonprofit management
- Board development
- Strategic planning
- Legal affairs
- Other
If "Other" is selected above, please explain:
Briefly describe your background, experience, and/or interests in the area(s) you checked above. * Required
Have you ever volunteered with a for-profit or non-profit organization? If so, what agency did you help and what were your responsibilities?
Agreement to follow rules and procedures: * Required
By submitting this contract, I agree to follow all rules and procedures including completing the ServeWyoming Volunteer Management Training, tracking and having hours signed by appropriate nonprofit/agency staff.
- Yes
Consent: * Required
I hereby consent to permit Casper College to conduct a search of state criminal history information and a fingerprint-based FBI check for selection and compliance purposes. I understand that selection into the program is contingent upon successful clearance of these checks and a search of the National Sex Offender Public Website (NSOPW). I understand that if I have been convicted of murder or if I am required to be registered as a sex offender I am ineligible to work or serve in this position.
- Yes
You will be asked to sign-off on the required background checks and eligibility verification tasks when meeting with CC Grants Office staff.

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Casper, WY 82601

307-268-2100

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