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Community Partner Site Visit Information 
Date/Time of Meeting: 
Location of Meeting: 
Name and Title of Agency Representative: 
Agency Name: 
Agency Mission Description: 
 
 
Is the agency partnered on the Pomerantz Career Center’s Hire‐a‐Hawk website (to post job, internship and volunteer 
opportunities)?   
____ Yes ____ No    _____ If no, does the agency wish to be? 
 
Is the agency partnered with the UI on VCJC website (UI dome medallion on agency’s listing)? 
____ Yes ____  No    _____ If no, does the agency wish to be? 
 
Partnerships with the UI (include name of staff or faculty name/department or unit and general details)  
Code:  E = existing; D = desired 
_____ Volunteers, episodic and/or ongoing  
 
_____ Service‐Learning  
 
_____ Internships  
 
_____ Practicum/Preceptor Experiences  
 
_____ Work‐Study  
 
_____ Community‐Based Research 
 
_____ Other 
 
 
What was the agency’s most recent collaboration with a UI group?  What went well?  What didn’t go well?  
   
 
 
 
 
 
 
 
 
 
 
 
Does the agency have future projects on their wish list with which they would like to involve UI faculty or students?  (Projects can be 
large or small, but something that is not an urgent need.) _____ (Yes, details below.) 
 
 
 
 
 
 
 
 
 
 
Follow‐Up Plan: 

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