Thank you for submitting your proposal to the Community-Based Learning Program. If you have any questions, please contact the CBL program (x3428) or the Weissman Center for Leadership (x3071).

All fields must be completed.

Title of Proposed Event

Brief description of event

Planning Group
Please list the names of all students and partners who will be planning the proposed event. Indicate the affiliations with CBL, MHC, 5-Colleges, and community organizations.
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization
Name: Affiliation: CBLMHC5-CollegesCommunity Organization

Date/Time
January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 at ampm

Location

Cost Estimate/Estimated by
$ per

Number of Guests

Who will be attending (i.e. students, faculty, community members)

Please describe how this event will complement your CBL course, work with community partners, or impact other relevant CBL relationships.