What is the name of the community partner organization or the location that you intend to serve? (i.e. Food for People/Klamath River Basin) *
Your answer
How much do you need? (limit $250) *
Your answer
Please clearly state what you will use the funds for and how it relates to your community based learning experience (i.e. I need a LiveScan and webcam to lead virtual learning activities with 3rd graders at Arcata Elementary School) *
Your answer
How will this award help you achieve your academic and/or professional goals? *
Your answer
If you do not receive this funding, would you still be able to participate in this placement? *
Required
Please be aware that we are obligated to notify the financial aid office of all awards. They may be in contact with you if this award affects your aid. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cal Poly Humboldt. Report Abuse