The specific requests can be submitted before the semester and/or requests can be made during the semester as activities and projects develop. When you press submit, you will receive a confirmation which you will be able to print.

Download Mellon Creating Lifelong Learners Fund Guide

Faculty Name



Name of Course

Semester/Year of Course

Brief Course Description

This course includes the following components:

Public Scholarship
Community-Based Research
Community-Based Work
Policy/Political work Internship/Practicum integrated into class
Comment Dialogue or Event One-time work in the Community

Describe idea for civic engagement component(s):

How will community stakeholders and/or a wider public benefit from the civic engagement component(s)?

Activities that you would like funded. If you know dates, please list them: