2020-2021 Ginsberg Center Support Requests

Ginsberg Center staff can connect your student organizations, courses, research and programs to reciprocal community engagement experiences. The information gathered in this Request Form is kept confidential and allows us to better understand your needs before a more in-depth conversation. It should take less than 5 minutes to complete.

Please be aware that due to our facilitator capacity, we cannot guarantee workshops that are requested less than three weeks in advance of the workshop date.

Additionally, we are unable to offer individual workshops to groups smaller than 10.

First Name:

Last Name:

Email:

Phone Number:

Your Affiliation (please check all that apply):

FacultyLecturerGraduate Student Instructor/Teaching AssistantStudentProgram Staff

Your School or Unit:

Your Department/Program/Student Organization:

Have you worked with Ginsberg Center before?

YesNo

Referral Information

How did you hear about the Ginsberg Center?

UM faculty memberUM staff memberUM studentInternet ResearchThe Ginsberg Weekly newsletterGinsberg Center FacebookGinsberg Center TwitterUniversity of Michigan publication (MPlanner, e.g)Community organization or associationOther

What are you requesting support for:

Student Group Support

What is your student classification?

What do you hope to learn and/or take away from your advising session?

How often would you like to meet?

OnceWeeklyBi-WeeklyMonthlyOnce/Semester

Please list at least 3 days/times you are available to meet to further discuss your needs:

Course Information

Please list the Course Title (include number and descriptive name)

When is the course offered (check all that apply)?

Fall WinterSpringSummer

Is this a (check all that apply):

New CourseExisting CourseOnline CourseHybrid Course

Does this course engage in local, domestic, or international community work? (please check all that apply)

LocalDomesticInternational

How can the Ginsberg Center support your course? (Check all that apply)

Explore potential partnerships through our extensive network of community organizationsHelp prepare students or GSIs for community engagementHelp with designing a new course or revising an existing courseSupport for assessing impact of courses on community organizations and student learningShare information with students on nonpartisan voter registration and other democratic engagement opportunities

Please upload your course syllabus, if available (.pdf, .doc, .docx). If you prefer, you can email the syllabus to us at ginsberg.engage@umich.edu.

Please provide any additional information below

Program Information

Please list the program title:

Please provide a short program description or website link:

Does this program engage in local, domestic, or international community work? (please check all that apply)

LocalDomesticInternational

How can the Ginsberg Center support your program? (Check all that apply):

Explore potential partnerships through our extensive network of community organizationsHelp prepare students or GSIs for community engagementSupport for assessing impact of programs on community organizations and student learningShare information with students on nonpartisan voter registration and other democratic engagement opportunities

Please provide any additional information below

Research Information

Research Project Title:

Please provide a short description of your research project or website link:

Does this research engage in local, domestic, or international community work? (please check all that apply)

LocalDomesticInternational

How can the Ginsberg Center support your research? (Check all that apply):

Explore potential partnerships through our extensive network of community organizationsHelp prepare students or GSIs for community engaged researchSupport for assessing community impact and student learning

Please provide any additional information below:

Other

What kind of support would you like from the Ginsberg Center?

Please list at least 3 days/times you are available to meet to further discuss your needs:

The Ginsberg Center offers workshops to students, faculty and staff on a range of topics including (but not limited to):

- Entering, engaging and exiting communities in ethical and respectful ways

- Best Practices for community-engaged research

- Social identities, power, and privilege

- Planning alternative breaks and service trips

- Civic Engagement

For classes or student organizations with less than 10 students, our Learning in Community Workshop Series includes a number of our most commonly requested workshops as public sessions open to all students. Please visit our calendar of events for more information.

Would you like the Ginsberg Center to offer a workshop for your course, program, project or student organization?

Workshop Information

Preferred Date(s) & Time(s) of Workshop

Desired Length of Workshop

30 Minutes60 Minutes90 Minutes

Room location (if available):

Is A/V (computer/projector) available in the room?

Expected number of participants:

Please note: Our workshops are designed for groups of 10 or more. If you have less than 10 participants, our Learning in Community workshops offer similar content and are open to all students on campus. Please encourage your participants to register for one of our upcoming sessions.

To help us track session attendance, please share a google spreadsheet link with attendee roster. Please include attendee names and uniqnames/email address (or send by email to ginsberg.workshops@umich.edu).

Who is the target audience for this workshop?

FacultyStaffUndergraduate StudentsGraduate Students

Which level of preparation best suits participants' needs and interests?

Learning key principles of community engagement to apply to an upcoming projectDeveloping and practicing tangible skills, like partnership development and communication, to apply to a short-term projectApplying principles of community engagement and learned skills to complete an in depth, student-designed project or researchI'm not sure and want to discuss more

What else would you like participants to learn from this workshop?

Do any participants require accommodations?

YesNoUnsure

Please list at least 3 days/times you are available to meet to further discuss your needs:

If this workshop is part of a course, one of our Graduate Liaisons can offer a follow-up session on a number of topics. What topic (s) would you like to see addressed in a follow-up session?

ReflectionExiting CommunitiesImpact of Social IdentitiesProject PlanningI am not interestested in having a follow-up session

Please provide any additional information below:

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