Submit Information for the Community Engagement Partnership Database

Community Engagement Partnership Database Submission Heading link

This form collects information regarding community engaged research, teaching, and practice between UIC SPH and public health partners in Chicago, Illinois, and across the world. The data submitted here are used to build The Collaboratory’s Partner Database.

Please submit information on one partnership per entry. If you’d like to submit information for numerous partners, you may also contact The Collaboratory (sphcollaboratory@uic.edu) for a spreadsheet to facilitate the process of submitting multiple entries.

Partner Organization Name * Required
Please enter the name of your partner organization.
Type of Partner Organization * Required
Please describe "other" * Required
Please list "multiple classifications"
Status of the partnership * Required
Please select the choice that best describes the status of your partnership.
Duration of Partnership * Required
Please select the choice that best describes the length of time for which you were engaged as partners.
Duration of Partnership * Required
Please select the choice that best describes the length of time for which you have been engaged as partners.
Nature of Engagement * Required
Select the box(es) that describes the nature of your engagement with the partner organization. You may select up to 3.
- Scholarly Service: Efforts intended to connect an organization's ideas and practices to the public. The flow of information is largely from provider to community. Outreach strategies include: promoting local events, hosting trainings, conducting trainings, and organizing seminars, all of which may be mutually beneficial.
- Outreach: Efforts intended to connect an organization's ideas and practices to the public. The flow of information is largely from provider to community. Outreach strategies include: promoting local events, hosting trainings, conducting trainings, and organizing seminars, all of which may be mutually beneficial.
- Community Engaged Research: A collaborative process between the researcher and community partner that creates and disseminates knowledge and creative expression with the goal of contributing to the discipline and strengthening the well-being of the community. Community-engaged research (CER) identifies the assets of all stakeholders and incorporates them in the design and conduct of the different phases of the research process.
- Community Informed Research: Research that aims to gather input or feedback from the community for the primary purpose of benefitting the community through improved research and/or practice. This includes work such as studies that examine knowledge, attitudes, and behaviors. "Informed research" differs from "engaged research" because with the former, the purposes, methods, and/or outcomes are not collaboratively designed with the community but more so by the research team and/or the grant specifications with a primary goal still being to benefit the community.
- Community Engaged Teaching and Learning: Method of teaching that combines academic coursework with activities that address community-identified needs through mutually beneficial partnerships that deepen students' academic and civic learning. These activities: 1) honor principles of community engagement such as reciprocal partnerships and having a public purpose 2) provide opportunities for students to collaborate with faculty and community members for the dual and integrated purposes of learning and service. Community-engaged teaching may be enacted through a variety of practices, including, but not limited to: service-learning experiences, on-site courses, clinical experiences, professional internships, community-based research or creative activities, collaborative programs, study abroad courses and experiences, international instruction, and distance education courses, when these practices involve reciprocal partnerships with community members, groups, or organizations.
- Other
Describe "other" using a few keywords
Description of Engagement Project * Required
Please provide 2-3 sentences describing your partnership with the organization and the project on which you collaborate.
Priority population in the partnership * Required
Please name any special populations targeted through your engagement such as youth, women, people who are homeless, or people who are not native English speakers. If not applicable, write "N/A."
Select the geographical area targeted in the partnership * Required
Neighborhoods Targeted in the Partnership * Required
Name the specific neighborhoods served or write "N/A."
Counties Targeted in the Partnership * Required
Name the specific counties served or write "N/A."
Countries or Regions Targeted in the Partnership * Required
Name the specific countries or regions targeted or write "N/A."
Name of SPH Contact Person * Required
Identify a faculty member who is willing to be the contact person for the Collaboratory to contact for periodic updates to the database or to connect interested parties.
Email of SPH Contact Person * Required
Name of Partner Organization Contact
Optional and will not be listed in the public database. In cases where people are interested in connecting with the partnership or the organization itself, the Collaboratory will consult with faculty first.
Email of Partner Organization Contact
Additional Comments
Please leave any additional comments about your partnership that should be noted.

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Submit Information for the Community Engagement Partnership Database

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Submit Information for the Community Engagement Partnership Database

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Community Engagement Partnership Database Submission Heading link