This form is to be completed by organizations and agencies interested in offering placement to TCC students for Service Learning. Copies of this form should be sent to Lindsay White, Director, Engaged Student Programming, Tulsa Community College, Northeast campus. 3727 East Apache, Tulsa, OK 74115-3151. Copies of this form will be kept on file for TCC faculty and students to review for student placement.


This form is completed by the instructor, student, and site supervisor before the student begins a service learning experience. In addition, the form also outlines the responsibilities of the student, faculty member, and community site. Contact information and instructions for submitting the form are included with the form.

This form establishes an on-going relationship between Tulsa Community College and organizations wishing to provide continuous service learning experiences for students. Instructions for submitting the form are included.


This form enables the department to use any pictures taken of students participating in Service Learning on our website and in any other publicity material