Consultation Request Form

If you are interested in volunteering on a regular basis and would like a 1:1 consultation with a CCE staff member to learn about our office, tracking forms, resources, and local service and volunteering opportunities, please fill out the following form with your interests and restrictions. We will also keep your information in order to contact you should we receive any future requests that match your interests.

If you are looking to stay up to date on one-time service opportunitites and events, join our listserv to receive our weekly newsletter. Also, be sure to check out our currently listed Service Opportunities.

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Basic Information

First Name: *

Last Name: *

Affiliation: *

Undergraduate student

Graduate student

Faculty or staff

Indicate your relationship with Oregon State University.

Major/Department: *

Class Information:

If you are contacting us to fulfill the requirements of a course you are taking, list the course prefix, number, and title in this field

Consultation Focus

In 2-3 brief sentences, please explain why you are requesting a consultation and what you would like to focus on during the meeting. Potential areas of discussion include finding an organization to work with on a regular and ongoing basis, learning more about how the CCE can support you in planning your own event, and reviewing resources on active citizenship and social justice.

Volunteering Information

Please respond to the following questions if you would like to discuss ways in which you can best volunteer on a regular basis during your consultation.

	1-5 hours/wk	6-10 hours/wk	11-20 hours/wk	21-40 hours/wk
About how many hours a week are you hoping to volunteer?

	Daytime M-F	Evenings M-F	Weekend Mornings	Weekend Afternoons
Generally, when are you available to volunteer?

Volunteering Interests (check all that apply):

Email Information

Email: *

Your preferred email address

CCE Listserv: *

Yes

Would you like to join the CCE Listserv to receive our weekly newsletter? (Please note that we will get back to you regardless of your choice.)

Center for Civic Engagement

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