2013-2014 Clemson University Service Alliance Faculty Fellows Application

Application Form: Deadline Friday, June 14, 2013

First Name:    Last Name:

Position/Department   

Office Address:

City:    State/Province:    Zip Code:

Email:

Fax:

Questions:

1. What specifically do you expect to gain from your participation as a Service Alliance Faculty Fellow? Within your answer please define what public service and outreach means to you.    (Limit to 100 words)


2. Describe an issue area where you feel you have made ( or could make) a significant impact by working with a local community to address a problem and/or opportunity through service-learning or community-based research. Explain how your impact illustrates your interest in service-learning or community-based research.    (Limit to 200 words)


I understand that  has applied to participate in the Clemson University Service Alliance Faculty Fellow Program. I further give my support to  to participate in all activities associated with the Fellows Program.

Signature of Department Chair or Supervisor

Address of Supervisor:

 

 

Telephone # 

Fax #: 

E-mail of Supervisor:

Applications and any questions should be directed to:


Kathy Woodard
Clemson Service Alliance Faculty Fellows Program
214 Barre Hall
Clemson, SC 29634-0124
fax (864) 656-1288
E-mail: ckathy@clemson.edu
Deadline for submission is Friday, June 14, 2013 by 5 PM. - Please print your application and have your supervisor or department chair sign your application.