Request for in Class CBL Assistance | Portland Community College

Community-Based Learning Faculty

Request for in Class CBL Assistance

CBL staff can provide assistance to you and students in your class. Please complete the form and we will contact you to make further arrangements.

Current Program Staff

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Your Information

First Name *

Last Name *

Email Address *

Phone Number

Phone number must be 10 digits

Course Information

Course *

ex: SOC 204

	Summer	Fall	Winter	Spring
Term

Class Location *

Please provide the campus and classroom where this course is held.

Course Dates *

Please provide the dates you would like CBL to come to your class

Timeframe *

Specific time for in class assistance (ex: 1pm start of class) and length of time available to present (ex: 5-10mins or 1.5hrs/entire class)

Assistance Format *

Please select the format(s) that work best for your class

In Class
online - Google Hangouts
online - ZOOM
Other

In Class Assistance Needed

CBL Resources for Students
GivePulse Orientation
Collaborating with Community Partners
Class Rap about upcoming community engagement opportunities
Other

Other In Class Assistance

If you selected "Other", Describe what you would like CBL to present to your class

Preferred Presenter(s) *

Please note, presenters may have limited availability due to class schedules.

CBL Faculty Coordinator
CBL Program Coordinator
Student Leaders

Additional comments and/or suggestions.

Your Information

Course Information

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