L4L Service Project On-line Application Form -Option 1: Faculty Service Placement

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Important Notes In this pathway, you will make use of your academic course’s service placement to concurrently fulfil the L4L service project requirement. Please read the [FAQ] before you complete the on-line form.

Part A: Personal Particulars

Surname

Name

Faculty

Curriculum

(e.g. BA, BEcon, BEng, etc.)

Year of Studies

University Number

(10 digits)

Telephone number

Part B: Details of Faculty Service Placement

Name of the concerned academic course

Contact person of faculty

Commencement date of your faculty service placement

Completion date of your faculty service placement

Name of your faculty service placement host

Description of your faculty service placement (e.g., what will you do, where will you do it, when will it happen, etc.)

How will this faculty service placement enable you to apply your character-based leadership? Please tell us in about 250 to 500 words.

What is the identified direct community service element in this faculty service placement?

Estimated number of direct community service hours in this faculty service placement

Other supplementary information (if any)

Please upload attachments (if any)

One file only.
8 MB limit.
Allowed types: txt, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, zip.