Inside-Out Course: Fall 2022

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please take a few minutes to fill out this short application for the fall section of the Inside-Out course. The course is offered inside the Norco prison (off campus). Student will take this course alongside students who are incarcerated. All University of Redlands students who are approved to take the course must complete a background check, volunteer application, and TB test.

Student Name (First and Last)

E-mail

Phone Number

In a short paragraph, please explain why you are interested in this course.

Which of the following best describes you?

MALT Student

Johnston Student (teaching credential)

Johnston Student (thinking about a career in education or related)

Undergrad Student (teaching credential)

Undergrad Student (thinking about a career in education or related)

Ed.D Student

Other:

Clear selection

Are you able to get a TB test by July 9?

Yes

Clear selection

Do you have access to a car?

Yes

Clear selection

If you have access to a car, would you be willing to drive other students to CDRC (in Norco) on Monday evenings for class?

Yes

Does not apply.

Clear selection

Are you currently a volunteer with REACH?

Yes

Clear selection

Are you willing to complete a background check and attend the mandatory orientation in early July (student may be able to attend remotely via Zoom)?

Yes

I can make it, but only if there's a virtual option like Zoom.

Sorry, I can't make the orientation in July.

Other:

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms