Indiana State University students, faculty and staff regularly give their time and talents to area agencies or organizations, businesses and industry in the form of community service, internships, consulting services, etc. If your agency, organization or business is in need of support, please send us details about your project, and we'll do whatever we can to assist you. To follow up or for more details, contact the Center for Public Service and Community Engagement at (812) 237-7900 or cpsce@indstate.edu.

Business or Organization Information:

Business or Organization Name:

Address:

City:

State:

Zip Code:

Phone: (Required)

Fax:

Website Address:
(if applicable)

Contact Person/Representative Information:

First Name: (Required)

Last Name: (Required)

Email:

Phone: (Required)

Community project name:

Community project description:

Project start date:
		Month	Day	Year

Project end date:
		Month	Day	Year

Who would you like to participate in your project? (Check all that apply):

Students Faculty Staff

Total number of participants you are seeking: