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Leadership & Service Ambassador Program or Service Request

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Student/Faculty/Staff Service Request Form

Please use the fields below to request a Leadership & Service Ambassador planned service experience. Please be as detailed as possible in your request, and an LSA will be in touch shortly to confirm the details. Please note LSAs are unavailable to lead service Wednesdays from 3:00 pm-5:00 pm.

Attention: If you are a current UTK student, staff, or faculty member with a valid NetID and password, please LOGIN first!

(please enter your complete first and last name)

(please enter a valid email addresss where we can contact you)

(please enter your phone number including area code)

If Faculty/Staff- please list your department/college
Event Date:

Which outreach areas are you interested in serving? Is there a certain type of work you are looking to do? For more information on Knoxville-area Community Partners, please go here: http://leadershipandservice.utk.edu/community-partners/

How will transportation be coordinated?

What is the makeup of your group?
Is this an organization or class experience? Do the volunteers already know each other? What is their year in school, gender, etc.?

Additional Information
Is there is anything else you would like the Leadership and Service Ambassadors to know before they begin planning your service experience?

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