Center for Community Solutions : Community Partner Engagement Application

Community Partner Engagement Application

Thank you for your interest in working with West Chester University's Center for Community Solutions (CCS).

Please complete the application with as much detail as possible.

We will review your request and respond as soon as possible.

Contact Information

Please make sure you have filled in all required fields with valid information.

Date:

12/22/2024

Community Partner:

Community Partner Website:

Organization Address 1:

Organization Address 2:

City:

State:

Zip Code:

Point of Contact Name:

Point of Contact Phone Number 1:

- Point of Contact Phone Number 1 (next 3 digits): - Point of Contact Phone Number 1 (next 4 digits):

Point of Contact Phone Number 2:

- Point of Contact Phone Number 2 (Next 3 digits): - Point of Contact Phone Number 2 (Last 4 digits):

Point of Contact Email:

Project Overview

Please make sure you have filled in all required fields with valid information.

West Chester University, through the CCS, aims to fulfill its institutional mission through developing and sustaining mutually beneficial partnerships to generate a positive impact upon individuals and within the community.

Please indicate up to three prioritized areas of community need with which the CCS may assist you; if possible, please describe the specific project being proposed with as much detail as possible:

Area 1:

Area 2:

Area 3:

Proposed Project Description:

The community need being addressed by this project and/or your organization:

Please indicate the proposed project timeframe and in particular any applicable deadline for project completion. Be certain to include whether it is anticipated that the project will be able to be completed within one academic semester or whether it may need to extend beyond the single semester timeframe.

Location

Please make sure you have filled in all required fields with valid information.

Please indicate the location(s) where the student work will be conducted.

Please provide any additional information or comments about the project.

How did you hear about West Chester University's Center for Community Solutions?

We thank you very much for your application and are enthusiastic to our working together in partnership!