Service Learning

Service Learning

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Michigan Campus Compact
Michigan Campus Compact


Western Michigan University Michigan Service Scholars Program

2010-2011 Member Application Form

Student Name

Local Address

Select a category to participate in (if you are not sure, see host supervisor)
How do you envision completing the 300 hours of service?

You must bring the following items to the training. Copies are not allowed. If you cannot, please see your campus supervisor.

  1. Proof of citizenship (Birth Certificate, Passport, etc.)
  2. State-Issued Photo ID (Driver's License, State ID Card, etc. - STUDENT ID CARDS ARE NOT ACCEPTABLE!).

All applicants will be required to attend an Americorps Enrollment session in January 2011. These dates will be provided to you in December 2010 if you are selected to participate in the program.  All Michigan Service Scholars will be required to attend this orientation.

Current Cumulative GPA
Service Resume
(Please list your three most recent or most significant community service experiences [list dates, locations, and organizational contact person of service(s)]. Please also list any awards you have received for service)



Service Learning
Western Michigan University
Kalamazoo MI 49008-5236 USA
(269) 387-2139 | (269) 387-2789 Fax