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Add Your Agency to our Service Learning Database


* indicates required field  
Username:*
Password:*
Confirm Password:*
Agency/Organization:*
Alternate Name:
County:* (select all that apply) Charlotte
Collier
Glades
 Hendry
Lee
Other
 
Opportunity
Classification:*		 Accounting/Financial
Adult (Companion/Education/Literacy)
Advocacy
Animals
Arts
Assistance (Elderly)
Assistance (Emergency)
Assistance (Family/Individual)
Assistance (Social Services)
Board/Committee Work
Computer/Web
Environment
Event Planning
FGCU Campus
Fundraising/Marketing/PR
Health/Health Education
Legal
Mentor
Museum/Science Center
Publications
Special Populations
Sports/Coaching
Teens
Tutor
Volunteer Coordinator/Manager
Youth (Companion/Group)
Description of
Agency/Organization:*
Job Description for
Service Learning Student:*
Times students can
perform service:*		 Weekdays daytime
Weekends daytime		 Weekdays evenings
Weekends evenings
Primary Contact:
Name (title, first*, last*):
   
Phone:*
  Extension:
Alternate Phone:
  Extension:
Fax:
E-mail:
Street/P.O. Box:*
City:*
  State:*  Zip:*
Secondary Contact:
Name (first, last):
  
Phone:
  Extension:
Website:
Are volunteers covered
by worker's compensation?
Benefits offered
(i.e., uniform, meals,
free tickets, etc.):
Additional information
student might find useful:
Human Verification:

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