National Service Learning Lab: Interest Form

1. Your Details *This question is required.

Your Name

Your Title

Foundation Name

Email Address

2. Please indicate your willingness to participate in the National Service Learning Lab: *This question is required.

3. We are receiving sponsorship support that will underwrite most (but not all) of the administration costs of this Lab; however, PACE and the sponsors are interested in understanding the willingness/ability of participants to contribute modest resources to demonstrate commitment to the Lab, as well as supplement its direct costs (for example: $2,500 for non-PACE members and $1,000 for active PACE members). Please indicate if/how this would influence your commitment to participate: *This question is required.

Please enter an 'other' value for this selection.

3. What further details do you need in order to determine if you are willing/able to participate?

3. Anything else you want us to know about your interest in participating?