1. Applicant Details

Name of Lead Applicant:  

Institution:   

Email Address:  

Telephone Number:  

Job Title:  

Did you attend the Service Learning Academy Conference in March 2006? 

Yes

No

2. Other Partners

Please list all other partners in this proposal providing their names, organisation and job title:

3. Details of the Initiative

Title of the Initiative: 

Overview of the initiative:

4. Alignment with Service Learning

Please explain the collaborative nature of the proposal:

Please explain how this proposals brings the Open Space Technology Report from the conference forward, by referring to the themes listed above:

Explain how this proposal moves forward service/community based learning:

Explain the practical dimension(s) of your proposal:

5. Submission

Provided the form has been filled in appropriately, your application will be recorded, and a confirmation page should be displayed in your browser. You should also receive an automatic email acknowledgement, including a copy of all the data you have entered. This should arrive within an hour of submission. If you do not receive this, or all the entered data is not present, or if you have any other problem or question relating to your application, please contact learning.innovation@DCU.ie.