Steinbruck Center at Luther Place

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Forms

If your group is engaging in a service-learning program, please fill out the following forms:

Group Assessment
Group leaders fill out the group assessment. This information will allow us to create a customized itinerary to meet your group’s goals. After you fill out the group assessment, we will contact you to schedule a phone conversation with you to discuss the trip.

Individual Participant Waiver
Each participant, or parent/guardian if under the age of 18 years old, should fill out and sign the following waiver form.

Group Terms of Agreement
A representative of the group/organization sponsoring the trip should fill out and sign the Terms of Agreement form.

If your group is coming for a conference, protest, or other social justice activity, please fill out the following forms:

Group Terms of Agreement
A representative of the group/organization sponsoring the trip should fill and sign the Terms of Agreement.

Individual Participant Agreement

Each person/group participant staying at the Steinbruck Center must fill out the following form.

Individual Participant Waiver
Each person/group participant staying at the Steinbruck Center must fill out the following form.

 

 

  • Education
  • Experiential Learning
  • Direct Service
  • Critical Analysis
  • Reflection
  • Transformation