NJIT: Career Development Services: Career Development Services

First Name:

Middle Initial:

Last Name:

Contact Information:

Street Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

NJIT E-Mail Address:

You must create a password to access Service Opportunities.

Password should be different from UCID password.

Please create a password:

Please confirm the password:

NJIT Student ID:

Graduate / Undergraduate:

Graduation Date:

mm/yyyy

Major:

Class Status:

Most Community Service Opportunities are Off-Campus:

Do you have a valid driver's license?

Do you have access to a car?

Are you willing to travel
via Public Transportation?

Volunteer Interests

Please check all topics of Interest:

	Environmental / Green Space Issues			Homeless Issues / Shelters
	Women's Issues / Domestic Violence			Tutoring / Mentoring / After School Programs
	Veterans Services			Developmental Disabilities Issues
	Computer / Technical / Web Development			Seniors / Elder care Issues
	Health / Medical Services			Community Athletic Programs
	Emergency / Disaster Response			Animals Care Issues
	Robotics Projects			Community Development / Support
	Hunger Issues

Skills and Experience:

Please list any special skills, strength, languages or experiences that you may have (i.e., Computer, Artistic, Tutor/Mentor, Previous Volunteer Experience, etc)

The following Community Service Programs are offered by CDS.

Please select the programs of interest to you (For additional information about the program please click the title):

References:

(Faculty members and/or past supervisors: include name, title, business address and phone number):

1.

2.

3.

By submitting the Civic Engagement Application electronically, you agree that all information contained in this application is accurate.