Crandall Community Practicum Proposal Form

Crandall University

Community Practicum (CCP) Proposal Form

* Please note when filling out online forms, it is best to use Mozilla Firefox or Internet Explorer as a browser. Other browsers may not work as well.

First Name:*

Last Name:*

Student #:*

Student email:*

Mailbox#:

Previous Surname (if applicable):

When was your first semester at Crandall?

Program of Study:*

Year of Study:*

Proposed ministry/service setting:*

Proposed Volunteer Activities:*

Estimated Volunteer Hours:*

Proposed Semester:*

Have you worked or volunteered in this setting in the past?*

Proposed CCP supervisor(s)

Name of Supervisor:*

Phone Number:*

Email:*

CCP Goals

This CCP experience is designed to introduce the experiential edge of your academic career. Through service opportunities you will be able to work toward connecting your faith and studies with a lifestyle of serving others. With this in mind, please write out two goals for this CCP experience. (Examples: "I want to serve with seniors as this will be a new experience for me." or "I want to gain experience in marketing by developing a PR strategy for Harvest House.")

Goal 1.*

Goal 2.*

Student Signature:*

Date:*

333 Gorge Road
Moncton, New Brunswick
Canada

506-858-8970