ࡱ> []Z bjbjWW ((==q $ QQQQQeeee8e7(;7=7=7=7=7=7=79V<b=7Q=7NQQR7NNNQQ;7N;7NNy0QQ5?mz<e:47,h7074<N<45N5:Q6 :   Hands-On Learning Contract Due of Week 2 on turnitin.com. See your class calendar for specific time/day for due date. Forms must be typed. No handwritten submissions will be accepted. Replace this box here with YOUR profile photo by using the Insert tab and choosing Picture:  Your Name: Class you are taking: __ POLI 1 Day Class __ POLI 1 Night Class __ POLI 1 Distance Learning Class Your Email Address: Your Phone Number: For your Hands-On Learning work, will you be doing (check one) ___ Practicing Democracy Assignments ; or ___ Civic Engagement Field Work If you are doing Practicing Democracy Assignments, you are done with this form. Upload it to turnitin.com now. If you are doing Field Work, please continue. If you are doing Civic Engagement Field Work are you choosing (pick one) ___ A Civic Engagement Assignment from our approved list- fill in name here: (Here is a URL with a list of pre-approved placements:  HYPERLINK "https://docs.google.com/spreadsheets/d/1rvLfT3BWiqvGKspg7yywIrCrZetJThbJyXN3LOwnUzU/edit?usp=sharing" https://docs.google.com/spreadsheets/d/1rvLfT3BWiqvGKspg7yywIrCrZetJThbJyXN3LOwnUzU/edit?usp=sharing ___ A Civic Engagement Assignment NOT on our approved list If you are choosing a placement on our approved list, provide the name of the placement above and you are done with this form. Upload it to turnitin.com now. If you choosing your own filed placement, please continue. Name of organization/placement Name of Contact Person/Volunteer Coordinator/Supervisor Area Code and Phone Number of Organization Email Address of Organization or Contact Mailing Address of Organization Give a brief 1-3 sentence description of the organization or placement Your placement must involve political organizing. Please explain how your choice fits this criterion: A) "POLITICAL" WORK: Your placement should be "political" in some meaningful and substantial way. By "political" I mean that is should attempt to affect the social or political rules relating to the distribution of social, political or economic resources ("Who gets what, and how?"). How is this placement political? B) "ORGANIZING" WORK: The activity should generally involve grassroots organizing. This means that the project should be aimed at organizing, empowering and mobilizing citizens in the practice of democracy. There are a handful of exceptions to this requirement. How is this placement political organizing as opposed to community service? Give 1-3 sentences describing the actual work that you think you will be doing. By submitting this application and agreement, your the student are attesting that you have carefully read and understood ALL of the requirements for Hands-On learning for your class. Not all applications are approved. Instructor approval is required BEFORE student may receive credit for field work, though in some cases credit may be granted retroactively. 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