Partner Application Community PartnerLegal name of partner organization*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Fax*Website* Project SupervisorName* First Last Title*Email* Phone*ProjectOverview and scope of work*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*How many hours per week will the student be required to work?20 hours per week40 hours per weekResources 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 ImpactOutputs*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 three educational objectives that you expect the student to learn during this experience.
