College of DuPage
Service Learning Program
COACH Program
Application
Name
Email
Phone
Area of study
If you have any special needs we should be aware of, please explain below:
Mondays
COACH Program classes are offered on Mondays, Wednesdays, and Fridays from 9-11 am and 1-3 pm. Each Service Learner will participate in ONE of the shifts. Please select the shifts in which you would be available.
9 am - 11 am
1 pm - 3 pm
Wednesdays
COACH Program classes are offered on Mondays, Wednesdays, and Fridays from 9-11 am and 1-3 pm. Each Service Learner will participate in ONE of the shifts. Please select the shifts in which you would be available.
9 am - 11 am
1 pm - 3 pm
Fridays
COACH Program classes are offered on Mondays, Wednesdays, and Fridays from 9-11 am and 1-3 pm. Each Service Learner will participate in ONE of the shifts. Please select the shifts in which you would be available.
9 am - 11 am
1 pm - 3 pm
Please indicate in no more than two sentences why you wish to be a Service Learning participant in the COACH Program:
Do you have any special skills or interests that we should know about (
e.g
. working with students with special needs, improving student accessibility)?
Verification
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