Palomar College
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Service Learning

Online Form for Student Registration

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Please take a moment to answer these questions:



OPTIONAL: Student Demographics: (Requested for federal reporting purposes, yet not required)




Use a Photo/Essay Release

Service Learning photographs students working onsite for educational and promotional purposes of the Service Learning office only.

I give permission to be photographed.
I DO NOT want my photograph to be taken.

Service Learning collects students essays for educational and promotional purposes of the Service Learning office only.

I give my permission to print my service learning essay.
I DO NOT want my service learning essay to be used.
Palomar Community College District 1140 West Mission Road, San Marcos, CA 92069-1487 Telephone: 1 760 744-1150