Qualtrics Survey | Qualtrics Experience Management

Before completing this form, please double check to make sure the course you are submitting is NOT currently designated to count toward your Certificate in Service Learning (https://csl.ku.edu/students/certificate/eligiblecourses).

If you do not see your course on this list, please proceed to inform the Center for Service Learning of a course you took that is not currently designated and to petition it to count toward your Certificate in Service Learning. This includes courses taken at KU and transfer courses.

Your Name

Your Instructor's Name

Where did you complete the course?

KU - Lawrence Campus
KU - Edwards Campus
KUMC
I'm petitioning a transfer course, taken at the following college or university:

What semester did you complete the course?

Course Number (e.g. ABSC 150)

Course Name (e.g. Community Leadership)

This course should be designated as:

Service Learning
Social Awareness
Both
Not Sure Yet