| Name of Organization |
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| Mission Statement
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| Issue Areas |
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| Additional Issue Areas 1 |
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| Additional Issue Areas 2 |
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| Volunteer Opportunities |
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| Prerequisites |
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| Does your organization offer group projects? |
Yes No
If yes, please enter additional information about doing group projects:
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| Does your organization offer internships? |
Yes No
If yes, please enter additional information about internship opportunities:
Please also submit your internship opportunities to the Career Center.
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| Interested in partnering with an academic course for Community-Based Teaching and Learning |
Yes No
If yes, please enter additional information about opportunities that could be linked with academic coursework.
Please contact the Gephardt Institute for Public Service for more information about Community-Based Teaching and Learning courses.
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| Offers family-friendly opportunities |
Yes No
If yes, please enter additional information about opportunities appropriate for children. What ages can you accommodate? What types of projects are available?
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| Website |
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| Name |
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| Title |
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| Phone Number |
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| E-mail Address |
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| Best Way to Contact You |
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| Street Address |
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| City |
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| State |
Missouri
Illinois |
| Zip Code |
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| Additional Addresses |
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| Submitter's E-Mail |
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For confirmation |
| Important: Please type the characters in the picture

Characters:
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