Faculty/Staff Registration
University of South Carolina 2012 Community Partner Breakfast
Monday, October 8th 7:30 a.m. – 9:00 a.m.

Name:
Position:
Email Address:
Work Phone:
College/Department Name:
College/Department Address:
City:
State:
Zip:
 
1. For what are you seeking community partnerships (service-learning classes, extra-curricular projects, research opportunities, etc.)? Please share as much detail as possible about your interests.
 
2. Regarding your particular community partnership interests, what are some of the “big picture” issues you hope students will encounter while working with community organizations? (e.g., social and economic factors that contribute to homelessness)
 
3. Special Notes or Comments:
I understand that some of this information may be shared with other participants during the Community Partner Breakfast to better facilitate connections. Note: Your phone number will not be shared. It will only be used to remind you of the event.
 
The University of South Carolina is committed to providing equal opportunity for participation in all programs, services, and activities. Accommodations will be made for persons with disabilities. Requests received after September 28, 2012  will be honored whenever possible. Please indicate below any accommodations (including specific dietary restrictions) we should address so that you are able to participate in this program: