Community and University Partnerships

MTSU faculty and staff may complete the following form to add current or prospective partner information to the MTSU Community and University Partnerships database.

The fields with*must be completed in order to successfully submit.

If the partnership is inactivated or if you wish to update partnership information, please email

MTSU Faculty/Staff Member Information




College: (check all the apply)
Basic and Applied Sciences
Behavioral and Health Sciences
Graduate Studies
Liberal Arts
Mass Communication
University College
University Honors


* (value can be zero)

Partner Information




* (if no end date, enter "ongoing")

Partner is in what region/area?
Local Regional Statewide National International

Partner is what type of entity?
Business/industry University/college/technology center School system Non-profit organization Other

If other, please describe:

Brief description or purpose of partnership:*

Classification of prospective partnership? (check all the apply)
Learning opportunity
Economic development
Job development

Will there be a written or signed agreement that describes responsibilities and benefits to each partner?
Yes No

Select the MTSU Academic Master Plan Partnership Strategy that this prospective partnership most closely applies to:
1. MTSU will develop a formal structure within the University to increase the number and diversity of partnerships
2. MTSU will seek opportunities to partner with other universities, businesses and industries.
3. MTSU will develop and provide incentives for faculty, staff, and external communities to initiate and engage in partnering relationships
4. MTSU will support and strengthen ongoing partnership initiatives within individual colleges or among collaborative groups of colleges and within the University.

Site of partnership operation?

MTSU resources (check all the apply)
Financial Human Facilities Knowledge

If financial, what will be the amount of MT resources? (enter NUMBERS only)

Partner's resources (check all that apply)
Financial Human Facilities Knowledge

If financial, what will be the amount of partner's resources? (enter NUMBERS only)*

Is this funded by a grant? Yes No *

Briefly describe the tangible and intangible benefits to be received by MTSU.

What is the impact on MTSU as a result of this partnership (i.e learning opportunities, professional, other benefits)?*

What is the impact on students?*

What is the impact on faculty? *

Can you quantify the benefits? Yes No

If yes, how?

What is the impact on the community/partner as a result of this partnership (i.e research, practical, workforce and economic development, social/cultural, other benefits)? *

How is this partnership assessed?*

What is the outcome of the assessment?*

What faculty scholarship is associated with this partnership? (check all that apply and provide a brief description of each)*
Technical Reports Curriculum Research Reports Policy Development Journal Publications

Technical Reports:


Research Reports:

Policy Development:

Journal Publications:


Please add additional information as needed.

Yes No

Public Service
Yes No

Yes No

Yes No

Service Learning
Yes No

Experiential Learning
Yes No