CEL - Course Designation Application - Bennion Center

Contact Information

First Name

Last Name

Title

Phone

Campus Address

School or College

If other, please specify

Office, Department or Program

Submission Date

Course Information

Course Name

Course Number

(e.g. COMM 3660)

Section Number

(e.g. 001, list all sections to which CEL would be added)

Crosslist Number

Credit Hours

Applying for CEL Designation for which semester(s)

Fall SemesterSpring SemesterSummer Semester(Choose all semester(s) that the course will be offered).

Briefly describe the learning outcomes that relate to community engagement, and explain (in 1-2 sentences for each learning outcome) how engagement enhances learning. Read more about General Education Learning Outcomes.

How will you ensure reciprocal collaboration with you community partner(s) to develop mutually beneficial CEL projects/work?

Briefly describe how learning outcomes will address community needs.

Please list the community partners you will be working with.

Will all students in this course be required to participate in the CEL work?

YesNo

Is this an online course?

YesNo

If yes, and students enrolled in this course may be completing more than six hours of required community engagement outside the state of Utah, the University is required to seek authorization from each state where the contact hours will take place. Please contact stateauthorization@utah.edu to obtain these authorizations.

Please expand briefly on how you will use reflection elements to enhance your students' learning outcomes.

What chartfield should CEL-SCH funds be transferred into?

If you don't know your chartfield, please work with your department accountant or administrative assistant. (SCH CEL funds can only be used to support CEL-related activities, so please considered creating a unique chartfield for these funds.)

Document Upload(s)

Attach a current syllabus which includes full descriptions of the proposed CEL components of the course: the definition of CEL, learning outcomes, assignments, reflection activities, community partners, etc.

Files must be less than 2MB and have one of the following file extensions: doc, docx, rtf, txt, pdf.

Please attach any other related item (e.g., reflection rubrics) for the course you wish to have reviewed.

Files must be less than 2MB and have one of the following file extensions: doc, docx, rtf, txt, pdf.

Community Engaged Learning - Course Designation Application