City Semester Pittsburgh

Community Partner: Project Proposal & Request for Student

Please complete one form per student requested.

Community Partner

Legal Name:

Street Address:


City:
State: Zip:
Fax:
Website:

Project Supervisor

Name:

Title:

Email:

Phone:

Project Overview

In a paragraph, please describe the project and scope of work for the City Semester student:

Desired Student Skills/Knowledge/Area of Expertise

Briefly describe the ideal student candidate:

Desired Student Availability Per Week

Please select how many hours per week you require of the student:
20 Hours Per Week40 Hours Per Week

Resources and Requirements

Describe the resources offered to the student (work environment, location, equipment provided) and the student’s required equipment, physical abilities and means of transit to field sites outside of the daily workplace.

Desired Project Results and Community Impact

Outputs: What are the anticipated deliverables/products delivered by the student at the end of placement?

Community Impact: How will this work impact your organization and community?

Educational Results: Describe 3 educational objectives that you expect the student to learn in this experience: