Semester:

Year:

In the space below, write a description of the Practical Leadership Experience you are proposing.

WHO?

Who will be your site supervisor?

Site Supervisor Title:

Address:

Phone:

Fax:

Email:

Who will benefit from your service?

WHAT?

What will you be doing?

What major tasks do you anticipate needing to accomplish?

What do you hope to learn? (Please include job description, if possible.)

WHEN?

How will you schedule your time (e.g. number of hours per week)?

When will the experience be complete?

How many hours per week will you work?

WHERE?

Where will you be participating in this leadership activity?

WHY?

What is the reason you chose this particular leadership experience?

How will this benefit the campus (or organization, if off-campus)?

How does this experience fit with your academic, career, personal and/or leadership goals?

The Involvement Proposal is due two weeks prior to the start date of your service involvement and will be reviewed by the WebsterLEADS office.