PSCI 496 Civic Engagement Enrollment Application

Step 1: Find a 40-hour placement as a volunteer or a paid employee

Step 2: Complete Civic Engagement Enrollment Application below

Deadline to submit your application is the first day of classes.

Decisions will be made by the end of first week of classes. If you have any questions, please contact PSCIadvising@uwaterloo.ca

First name

Last Name

Student ID Number

Enrollment Term

Fall

Winter

Spring

Academic Plan

Political Science Major

Political Science Minor

None of the above

Are you a co-op student?

Yes

I have already secured a position requiring you to complete 40 hours of a paid or unpaid civic engagement experience.

If no, please make arrangements first and return to complete this application.

Yes

Place of civic engagement experience

Placement Supervisor Contact Name

Placement Supervisor Contact Email

Placement Supervisor Contact Phone

Please provide a description of how you will spend your 40 hours during the placement. And how you plan to link this experience to a final project

Example: Duty – Conducting primary archival research for a local church - 20 hours Brief description of assigned duty - Searching the church archives for information regarding the relationship between the church and local Indigenous communities. Duty - Reporting research findings in format of choosing to the anti-racism committee and church - 20 hours Final Project: Written report with research findings

Please provide a description (up to 200 words) of the civic engagement experience and how it might be relevant to political science

Acknowledgement

I understand that my civic engagement experience will need to be approved by the instructor of the course to confirm enrollment in the course. If I am not approved, I am required to take an alternative course

I understand that if my civic engagement experience is approved, I will be automatically enrolled into the course, the first week of classes.