Citizen Scholars Application

Application for Citizen Scholars Program

Please fill out all the required fields. Submitting this application is not necessarily a commitment - we’ll use this information to track your progress and send you helpful resources. Once you apply, we’ll have an orientation meeting with you to get to know you and discuss service options best suited to your interests and major.

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone Number*

Email*

Hometown*

Expected Graduation Date*

Major/Degree Program*

Estimated number of service hours already completed (since entering college):*

Do you have any idea of what experience you might want to use to satisfy the community-engaged learning experience requirement? See options online at https://www.usm.edu/community-engagement/es_faq.php#definitions. *

How did you find out about this program?

Word of Mouth Promotion by my School CCE Staff Social Media Search Engine

Other:

Additional info (optional)