Western Carolina University
Center for Service Learning
6th Annual Community Service-Learning Fair
Tuesday, January 25, 2010
11:00 a.m. – 2:00 p.m.
Registration Form
Name:_________________________________________________
Title:___________________________________________________
Organization:___________________________________________
Address:_______________________________________________
City:________________________ State:_____ Zip:_____________
Phone: ________________________ Fax:____________________
Email:__________________________________________________
REPRESENTATIVES ATTENDING (Nametags will be made using this information)
Name:_______________________ Title:______________________
Name:_______________________ Title:______________________
Name:_______________________ Title:______________________
Total # of representatives who will eat lunch: ___
In order to assist students in finding organizations that offer volunteer
opportunities in areas that most interest them, please check up to three
categories that best describe your organization’s focus.
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Animal Care
Anti-violence
Children
Disability
Education
Elderly Care
Environmental
Food/Hunger
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Government
Health & Wellness
Historical
Political
Recreation
Religious
Youth
Other (Please Specify):
________________________________
We will provide: *One 8’ table
*Two chairs
*One white table cloth
*Lunch
Please indicate special accommodations needed.
(Access to electrical outlets is limited.)
_____________________________________________________________________________
_____________________________________________________________________________
Thank You!
Registration Deadline: Tuesday, January 4, 2010
Jennifer Cooper
Center for Service Learning
273 Belk
Western Carolina University
Cullowhee, NC 28723
Phone: 828-227-7184
E-mail: jacooper@wcu.edu
Web site: servicelearning.wcu.edu