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Agreements/Contracts |
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Applications |
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Certificates/Awards |
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Evaluation and Assessment |
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Financial Forms |
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Job/Position Descriptions |
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Lesson Planning Templates |
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Miscellaneous Forms/Documents |
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Mission Statements |
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Policies/Guidelines |
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Promotional Materials |
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Public Relations Communications |
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Site Visit Documents |
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Spanish Language Documents |
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Surveys |
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Time Sheets |
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Workplans |
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| Agreements/Contracts |
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Community Service Contract |
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This contract is designed for students wishing to participate in a community service-learning project. Also includes a community service verification form, used to track and maintain service hours. Contributed by: Coalition of Essential Schools Northwest Service Learning Exchange, a program funded by Learn and Serve America. |
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Confidentiality Statement |
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One-page confidentiality statement of understanding. Contributed by: Northwest Indian College, a program funded by Learn and Serve America. |
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Employee Service Project Placement Form |
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The Employee Service Project (ESP) at Brevard Community College allows full-time employees to perform community service during regular work hours. This form is for recording details of the employee placement with an organization. Contributed by: Brevard Community College. |
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Fourth Credit Service-Learning Contract |
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One-page contract agreement for using service-learning as a fourth (extra) credit.
Contributed by: Brevard Community College. |
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Letter of Understanding |
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One-page example of a letter of understanding between a community partner/agency and a community college service-learning program.
Contributed by: Center for Learning Through Service,
Anne Arundel Community College, a program funded by Learn and Serve America. |
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Parental Release Form and Child Background Sheet |
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This document includes a letter to parent/guardians, a parental release form, and a sheet to fill out background information on the child participating in service-learning.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Partnership Agreement |
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Two-page partnership agreement for students and community organizations. Contributed by: Northwest Indian College, a program funded by Learn and Serve America. |
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Photographic and Video Release Form |
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Form for acknowledgment of permission to use an individual's image on any video or still photography. Contributed by: Northwest Indian College, a program funded by Learn and Serve America. |
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Placement Confirmation Mutual Agreement |
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One-page form confirming placement expectations of both the community partner and the service-learning participant. Contributed by: Brevard Community College. |
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Student Service-Learning Agreement |
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This form serves as a permission slip. It is not mandatory, however it is recommended that this form be completed by each student prior to beginning a service project. It ensures that all involved partners - the service organization, the student and his/her parent or guardian - agree on the terms of the service project. Contributed by: Chicago Public Schools. |
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Student Service-Learning Contract |
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Three-page student service-learning contract and letter of agreement.
Contributed by: Center for Learning Through Service,
Anne Arundel Community College, a program funded by Learn and Serve America. |
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Volunteer Liability Insurance Enrollment |
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Brevard Community College maintains personal liability insurance for volunteers, valid while participants are performing volunteer duties. This form enrolls the volunteer and also lists automobile insurance information for volunteers intending to use a personal vehicle during participation. Contributed by: Brevard Community College. |
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Youth Advicsory Board Parent Permission Slip |
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This is a permission slip for parents of the participants in a youth advisory board. Parent signatures indicate that they recognize and understand the duties and activities in which their children will be taking part, as part of the youth advisory board, including meetings, communications, and transportation. Contributed by: Alliance for a Healthier Generation. |
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| Applications |
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Application Addendum |
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An addendum designed to be attached to an application for program funding, should substantial changes that might have an impact on budget allocations or program outcomes need to be made.
Contributed by: Utah State Office of Education, a program funded by Learn and Serve America |
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Application for Funding Instructions |
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Instructions for filling out the 2008-2009 application for funding from a state department of education. Contributed by: Utah State Department of Education, a program funded by Learn and Serve America. |
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Center for Service-Learning Student Application |
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Form for students to fill out giving contact information, volunteering history, and placement preferences. Contributed by: Brevard Community College. |
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Community Service Scholarship Application |
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Sample application for student applying to receive on-campus award of community-service scholarship. Contributed by: Brevard Community College.
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District Application for Service-Learning Funding |
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Application for a school district wishing to obtain funding for service-learning programs from its state education department.
Contributed by: Utah State Office of Education, a program funded by Learn and Serve America |
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Employee Service Project Application Form |
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The Employee Service Project (ESP) at Brevard Community College allows full-time employees to perform community service during regular work hours. This form is for interested employees to fill out, listing interests and availability. Contributed by: Brevard Community College. |
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High School Mentor Application |
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Two-page mentor application for high school students, including a scheduling form for availability.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Mentee Interest Application Form |
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Application form for interest as a mentee in high school mentoring program. Includes a template for scheduling availability.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Outstanding Student Humanitarian Scholarship Application |
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Sample application for student applying to receive tuition award for outstanding community service contribution. Contributed by: Brevard Community College. |
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Peer Reviewer Application |
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Application to become a peer reviewer of grant applications, including scales and open-ended response questions. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Sample Application Pieces |
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Sample pieces and excerpts from previous grant applications, with information on abstracts, narratives, critical activities, and budgets. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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School/Classroom Application for Service-Learning Funding |
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Application for an individual classroom or school wishing to obtain funding from its state department of education for service-learning programs or projects. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Service-Learning Leadership Scholarship Application |
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Sample application for student applying to receive tuition award for service-learning leadership. Contributed by: Brevard Community College. |
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Year 2 Renewal Application |
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This two-page document specifically lists the expectations of the application, broken down clearly into three different sections. Contributed by: Rhode Island/Massachusetts Campus Compact. |
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Youth Advisory Board Application |
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This application is designed for use by youth interested in holding a position on a youth advisory board to serve as an advocate in the empowerME4Life campaign. Contributed by: Alliance for a Healthier Generation. |
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| Certificates/Awards |
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Certificate of Appreciation |
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Certificate of Appreciation in recognition of a campus-community partnership.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Employee Service Project Appreciation Letter |
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The Employee Service Project (ESP) at Brevard Community College allows full-time employees to perform community service during regular work hours. This is a sample letter of appreciation from the Center for Service-Learning to staff participants. Contributed by: Brevard Community College. |
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Multiple Sample Awards |
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This 13-page document shows sample text and design for various awards. Included are campus-specific awards, student awards, and staff awards. Criteria for receipt of some of the awards are included. Contributed by: Brevard Community College. |
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| Evaluation and Assessment |
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Assessment Plan for Service Learning |
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The Assessment Plan should be reviewed by any faculty considering or currently offering a designated service-learning course. Familiarity with the plan is fundamental to receiving course designation and it provides a context for the complimentary assessment forms posted below. Contributed by: University of North Dakota. |
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Assessment Rubric for the Sustainability of High Quality Service-Learning |
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This rubric is intended to provide school-based service-learning practitioners with a guide for planning, developing and assessing the status of their service-learning programs. Service-learning is a teaching methodology that connects meaningful community service with academic learning, personal growth, and civic responsibility. Below is a continuum for service-learning that combines
recommendations from Learning that Lasts: How Service-Learning Can Become an Integral Part of Schools, States and Communities, the NH Service-Learning and School Improvement Self Assessment Tool, and Learn and Serve - Michigan goals for service-learning.
This tool may be used to review the status of service-learning in a building or a district wide service-learning initiative, assist in
documenting a strategic plan, and as a discussion guide for obtaining perspectives from key leaders in the school and community. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Best Practices in High Quality Service-Learning |
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This eight-page document serves as a planning form for a service-learning project and focuses on itegrated learning, high quality service, collaboration, student voice, civic responsibility, reflection and evaluation. Contributed by: Cherokee Nation. |
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Campus Partner Needs Assessment Tool |
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Three-page community partner needs assessment survey/tool.
Contributed by: Keren Zuniga McDowell, Student Coalition for Action in Literacy Education (SCALE) at UNC-Chapel Hill, a program funded by Learn and Serve America. |
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Civic-Minded Graduate Scale - Campus Version |
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This scale evaluates student experience of educational opportunities which included community involvement, either through coursework or extra-curricular activities, and allows users to understand the influence of community involvement on academic, personal, and civic development.
Contributed by: IUPUI Center for Service and Learning. |
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Civic-Minded Graduate Scale - Course Version |
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This scale is designed to measure the impact of a specific course on a student's academic, personal, and civic development. Contributed by: IUPUI Center for Service and Learning. |
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Civic-Minded Graduate Scale - CSL version |
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This survey is designed to measure the impact of involvement with IUPUI's Center for Service and Learning programs on students' academic, personal, and civic development. Contributed by: IUPUI Center for Service and Learning. |
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Civic-Minded Graduate Scale - Sorted by Subscale |
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This document breaks the items in the Civic-Minded Graduate scale into 10 subscales: volunteer opportunities, academic knowledge and technical skills, contemporary social issues, listening, diversity, consensus-building, valuing community engagement, efficacy, social trustee of knowledge, and behavioral intentions. Contributed by: Indiana University-Purdue University Indianapolis. |
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Community Partner Assessment |
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One-page community partner assessment form for agencies interested in partnering with service-learning projects. Contributed by: Northwest Indian College, a program funded by Learn and Serve America. |
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Community Partner Questionnaire |
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This two-page survey lets community partners evaluate their experience with student workers and with the service-learning office. Contributed by: Brevard Community College. |
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Community Service-Learning Grantee Mid-Year Report |
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This form is for use with service-learning grantees as a means of progress monitoring. Sections on successes, challenges, training and technical assistance needs, partners, progress, and sustainability are included. Contributed by: Massachusetts Department of Elementary and Secondary Education, a program funded by Learn and Serve America.
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Community Service-Learning Partnership Grantee Mid-Year Report |
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This form is for use with service-learning partnership grantees as a means of progress monitoring. Sections on successes, challenges, training and technical assistance needs, partners, progress, and sustainability are included. Contributed by: Massachusetts Department of Elementary and Secondary Education, a program funded by Learn and Serve America. |
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Critical Thinking Reflection Form |
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This two page document is meant for students to process and reflect on the beneficial outcomes resulting from their service-learning experience. |
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Daily Journal Template |
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This blank journal page allows students to keep track of their daily achievements and reflect on them. Contributed by Brevard Community College. |
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Employee Service Project Survey |
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The Employee Service Project (ESP) at Brevard Community College allows full-time employees to perform community service during regular work hours. This one-page survey lets employees indicate if they currently perform volunteer work elsewhere and lets them indicate interest in participating in the school's program. Contributed by: Brevard Community College. |
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End-of-Year Evaluation |
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Evaluation form that collects data on number and type of participants, activities carried out, and benchmarks/standards addressed. Also designed to collect information on presence of student voice, meeting of community needs, reflection and celebration activities, and outcomes for students and educators. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Evaluation Form and Service-Learning Hours Log |
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Service-Learning hours log and evaluation form to be completed by site supervisor.
Contributed by: Center for Learning Through Service,
Anne Arundel Community College, a program funded by Learn and Serve America. |
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Faculty Community Service-Learning Evaluation |
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One-page survey for faculty to rate the effectiveness of the service-learning experience in their classes. Contributed by Brevard Community College; form created by University of Minnesota. |
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Faculty Follow-up Evaluation |
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Follow-up evaluation for community college faculty members involved with service-learning.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Faculty Questionnaire |
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One-page form for faculty to give feedback on their service-learning experience by rating various aspects on a scale from poor to excellent. Contributed by: Brevard Community College. |
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Faculty Service-Learning Component Assessment |
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One-page feedback form for faculty to fill out. Evaluates the addition of the service-learning component to course instruction. Contributed by: Brevard Community College. |
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Faculty Training Evaluation Form |
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Two-page sample evaluation form for faculty members who attended the Columbia State Community College Service Learning Curriculum Integration Training.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Family Relationship Index Form |
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The Family Relationship Index is a structured interview to: (a) evaluate family conditions, (b) locate specific problems in the family, (c) determine which children need help, and (d) measure changes in the family or in the behavior of individual children as determined by the differences noted on the PRE and the POST. Contributed by: The Family Education Training Center of Hawaii, a program funded by Learn and Serve America. |
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Global Youth Service Day 2009 Evaluation |
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This evaluation form is for organizations and institutions participating in Global Youth Service Day 2009. The feedback collected will help to document the contributions that young people all over the world are making to their communities. YSA prepares an annual report
based on the information provided to showcase the work of all participants. Contributed by: Youth Service America, a program funded by Learn and Serve America.
Sections are included on: Basic Information, Volunteers, Impacts, Media/Elected Officials and Public Figures, Outreach, YSA Resources, GYSD 2009 Lead Agencies, Martin Luther King Jr. Day, Jan. 19, 2009, and Semester of Service. |
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Inner Circle/Outer Circile Feedback Technique Form |
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This one page survey is meant to engage classroom discussion as students evaluate and give feedback about their service-learning experiences. Contributed by Brevard Community College. |
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Institutionalization Checklist |
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This tool contains a series of questions about the state of your community-based research taking place on campus in individual programs, but also within the context of the entire university.
Contributed by: The National Community-Based Research Networking Initiative, a program funded by Learn and Serve America.
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Integrating Service and Academic Study Oral Survey |
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This one-page preliminary survey is to ascertain a faculty member's familiarity with and interest in service-learning as a course component. Contributed by: Brevard Community College. |
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Integrity Scale - Morton |
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This scale, designed for students involved in service-learning projects, is designed to evaluate their attitudes toward service and motivation toward community action.
Contributed by: Indiana University-Purdue University Indianapolis Center for Service and Learning.
Adapted from: Morton, K. (1995). The irony of service: Charity, project, and social change in service-learning. Michigan Journal of Community Service Learning, 2, 19-32. |
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LEARNING Impact Measurement Instrument (generic) |
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This instrument may be used to track the progress and measure the impacts and outcomes of a service-learning program or project. Areas are provided for the academic need and community goal that prompt the program/project, as well as the inputs (resources needed), activities, outputs (evidence of academic or content goals addressed), intermediate outcomes (evidence of changes in skills), and end outcomes (evidence of changes in student behavior or attitudes). Contributed by: Oregon Department of Education, a program funded by Learn and Serve America. |
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LEARNING Impact Measurement Instrument (literacy) |
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This impact measurement instrument is for use with programs or projects that include literacy tutoring. Space is given to list the academic goal and community need prompting the service-learning program/project, as well as the inputs (things needed to carry out the learning goals), activities (what will be done to meet the learning goals), outputs (academic standards met), intermediate outcomes (changes in student skill levels), and end outcomes (changes in student attitudes and behaviors). Contributed by: Oregon Department of Education, a program funded by Learn and Serve America. |
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LEARNING Impact Measurement Instrument (student) |
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This form, intended for student use, allows students to identify the academic goal and community need prompting their service-learning projects. Students may also use the form to identify inputs, activities, outputs, intermediate (learning) outcomes, and end (behavior/attitude) outcomes. Contributed by: Oregon Department of Education, a program funded by Learn and Serve America. |
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LEARNING Impact Measurement Instrument (watershed restoration) |
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This impact measurement instrument is for use with a watershed restoration project. Space is given to list the academic goal and community need prompting the service-learning program/project, as well as the inputs (things needed to carry out the learning goals), activities (what will be done to meet the learning goals), outputs (academic standards met), intermediate outcomes (changes in student skill levels), and end outcomes (changes in student attitudes and behaviors). Contributed by: Oregon Department of Education, a program funded by Learn and Serve America. |
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Learning Objective Assessment/Accomplishments Log |
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This simple grid is for recording learning objectives, evidence of achievement, date of completion, and what is left to accomplish. Contributed by: Brevard Community College. |
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Maryland Best Practices Rubric |
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Rubric for assessing the use of
Maryland's Seven Best Practices of Service-Learning.
Contributed by: Maryland Student Service Alliance/Maryland State Department of Education, a program funded by Learn and Serve America. |
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Maryland LEA Leadership Rubric |
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Rubric for assessing the quality of
LEA service-learning leadership.
Contributed by: Maryland Student Service Alliance/Maryland State Department of Education, a program funded by Learn and Serve America. |
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Maryland School Leadership Rubric |
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Rubric for assessing the quality of
school service-learning leadership.
Contributed by: Maryland Student Service Alliance/Maryland State Department of Education, a program funded by Learn and Serve America. |
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Maryland Service-Learning Evaluation Tool |
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Four-page evaluation tool for K-12 service-learning programs.
Contributed by: Maryland Student Service Alliance/Maryland State Department of Education, a program funded by Learn and Serve America. |
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Mentor Assessment of Mentees |
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Two-page assessment form for mentors working with youth.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Methods and Strategies for Community Partner Assessment |
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This 11-page "End-of-Program Survey" for community partners is intended to describe the perspectives
and attitudes of community partners on several issues related to their experience(s) as a
community site for service-learning course(s). |
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Midyear Progress Report |
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This survey collects basic data about the college student service-learners,
disadvantaged youth participants, and community partners participating in service-learning initiatives; the
service-learning courses on your campus; your communication with policymakers; any special events you held
and/or media coverage you received; and your challenges, successes, and lessons learned.. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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Post-Conference Evaluation |
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One-page sample post-conference evaluation form for community college faculty/administration.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Post-Test Items by Construct |
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This scale for students who have just completed service-learning projects, coursework, or programs, is arranged by construct. These categories include peer interaction, faculty interaction, career relevance, course satisfaction, perceived and active learning, personal relevance, likelihood of persistence, and civic responsibility. Contributed by: Indiana University-Purdue University Indianapolis Center for Service and Learning. |
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Reflection Seminar Debriefing Form |
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This one page document serves as a debriefing form for students to reflect on their overall service-learning experience. Contributed by Brevard Community College. |
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Required Program Information form |
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This form may be used to collect information from service-learning programs regarding historical service-learning practice and funding, proposed service-learning activities, program overview, and planning and implementation goals. Contributed by: Massachusetts Department of Elementary and Secondary Education, a program funded by Learn and Serve America.
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Rubric for Levels of Reflection |
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This rubric can be used for assessing the level of reflection in student assignments.
Contributed by: Jean Strait, Hamline University |
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Service-Learning Assessment Reporting Form |
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This two-page document is meant for faculty teaching designated service-learning courses that need to collect assessment information on student learning and community outcomes. Contributed by: University of North Dakota. |
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Service-Learning Community Outcomes Assessment Form |
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This one-page document is meant for faculty teaching designated service-learning courses that are asked to collect assessment information on the community outcomes of the students' service using the Service-Learning Community Outcomes Assessment form. Contributed by: University of North Dakota. |
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Service-Learning Option Assessment Feedback |
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Form for instructors to provide feedback on how the service-learning component affected their course. Contributed by: Brevard Community College. |
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Service-Learning Rubric #1 |
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This rubric allows service-learning practitioners to assess and evaluate facets such as curricular links, links to standards, student voice, identification of authentic community need and provision of meaningful service, connecting school and community in meaningful ways, presence of skilled adult guidance, and reflection. Contributed by: Chicago Public Schools. |
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Service-Learning Rubric #2 |
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This rubric may be used to assist service-learning practitioners in measuring the performance of a service-learning project or program. Areas measured include preparation, student voice, collaboration, curriculum integration, service, reflection, assessment, celebration, evaluation, and professional development. Contributed by: Chicago Public Schools. |
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Sixteen Candles Service-Learning Debriefing Form |
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This one page form is meant for students to reflect on what they learned after completing their service-learning project. Contributed by Brevard Community College. |
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Student Assessment of Service-Learning Form |
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This one-page document serves as a Service-Learning program assessment, meant for students to fill out after completing their course. Contributed by: University of North Dakota. |
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Student Final Report |
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Two-page form for student to write short responses about the service-learning experience. Questions deal with emotional aspects (happiest/angriest/saddest moments), achievements and failures, and let students list what they have learned. Students can write about concerns and suggestions as well. Contributed by: Brevard Community College. |
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Student First Impressions |
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Records student impressions of service-learning center: helpfulness and friendliness of staff, efficiency of application process, etc. Contributed by: Brevard Community College. |
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Student Mid-Semester Progress Report |
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One-page evaluation tool to rate students' progress in various areas related to performing service-learning.
Contributed by: Brevard Community College. |
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Student Questionnaire/Survey |
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Two-page detailed survey for students to fill out about how participation in the service-learning experience has affected them personally and academically. Contributed by: Brevard Community College. |
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Student Self-Assessment |
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This document consists of a short survey and rubric for student self-assessment of service-learning projects.
Contributed by: Jean Strait, Hamline University |
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Student Service-Learning Questionnaire |
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Two-page form for students to evaluate service-learning program and how it has affected them personally and academically. Contributed by: Brevard Community College. |
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Student Summary of Self-Assessment for Service-Learning |
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Single page asking students to give details about their skills, interests, and requirements/constraints related to performing service-learning. Contributed by: Brevard Community College. |
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Teacher Assessment/Feedback |
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This one page assessment/feedback memorandum is meant for teachers who wish to evaluate the changes brought about by adding a service-learnign component to their course. Contributed by Brevard Community College. |
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Types of Service Scale |
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This scale is designed to assess student attitudes toward their ability to provide service and bring about community impacts, their motivation toward service activities, and their opinions about the efficacy of community service-learning programs and projects.
Contributed by: Indiana University-Purdue University Indianapolis Center for Service and Learning.
Adapted from: Morton, K. (1995). The irony of service: Charity, project, and social change in service-learning. Michigan Journal of Community Service Learning, 2, 19-32. |
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| Financial Forms |
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Academic Service-Learning Mini-Grant Application |
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An example of a mini-grant application for individual K-12 teachers. Teachers may request funding for a service-learning project that connects with state standards/benchmarks
and curriculum, and must provide students with both a "preparation and reflection" piece/activity as it relates to their experience. The project must also provide students with the opportunity to be of service to others or engage in action around a social, political or environmental issue. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Curriculum Development Mini-Grants |
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This six-page document is meant for teachers who are interested in applying for mini-grants to fund their Service-Learning course development. The purpose of the mini-grants is to encourage faculty to incorporate the service experience into the teaching and learning objectives of courses. Contributed by: University of North Dakota. |
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Final Fiscal Report |
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Two-page end-of-year fiscal report from program coordinator to Learn and Serve America. Contributed by: Louisiana Serve Commission, a program funded by Learn and Serve America. |
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Grant Proposal Packet |
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This 14-page document serves as an application for participation in the Learn and Serve Idaho Project. Grantees create new service learning programs, replicate existing models, and train staff, faculty, adult volunteers, and students in service learning. Participants are K-12, school-age youth. Eligible applicants are Idaho K-12 schools of any grade span. Contributed by: Learn and Serve Idaho. |
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In-Kind Contributions and Matching Funds Form |
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This 1-page document serves as an organizational rubric to keep track of the source of funds, description of contributions, purpose for contribution, value of contribution, etc. Contributed by: Learn and Serve Idaho. |
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In-Kind Match Reporting Instructions |
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One page document that defines "in-kind" matches and a calendar of due dates for in-kind match reporting. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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Interim Fiscal Report |
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Mid-year fiscal report from program coordinator to Learn and Serve America. Contributed by: Louisiana Serve Commission, a program funded by Learn and Serve America. |
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Mid Year Financial Report |
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Spreadsheet template used for mid-year financial reporting of service-learning grant funds.
Contributed by: Maine Department of Education, a program funded by Learn and Serve America. |
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Mini-Grant Application |
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This application for a mini-grant was created for planned service-learning mini-grants to campuses working with urban K-12 or urban youth-serving partners through a competitive, statewide process. Contributed by: Great Cities Great Service, a program funded by Learn and Serve America. |
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Monthly Payment Invoice |
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Monthly payment invoice from program coordinator to Learn and Serve America. Contributed by: Louisiana Serve Commission, a program funded by Learn and Serve America. |
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Notice of Funding Availability (NOFA) |
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Sample of a Notice of Funding Availability, with sections on the purpose of the funding, upcoming training, and application process. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Potential Matching Funds |
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This 2-page document gives examples of that which can be officailly payed for using grant funds. Contributed by: Learn and Serve Idaho. |
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Receipt Voucher for In-Kind Contribution |
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One page document that facilitates the tracking of in-kind donations. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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Reimbursement Request Form |
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A reimbursement request form for schools and districts wishing for reimbursement from a state educational office. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Research Fellows RFP |
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Application information is provided regarding the scope and area of focus for the 2008-2009 Great Cities Great Service Research Fellows. Also given are an overview, guidelines for application, and selection criteria. Contributed by: Great Cities Great Service, a program funded by Learn and Serve America. The Learn and Serve America, Great Cities Great Service grant led by Otterbein College, Ohio Campus Compact, and University of Cincinnati is a state-wide consortium to mobilize college students and urban youth volunteers in civic service through their model initiative, youthLEAD (Learn, Engage, Act & Decide). Twelve campuses are currently incorporating youthLEAD into one or more service-learning courses on their campuses. Participants serve side-by-side with urban youth as capacity builders, solving community problems, serving those living in poverty, and strengthening urban wellness. |
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RFP Process Overview |
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This document outlines how an organization will: announce the availability of funds, revise the RFP document, provide guidance to potential applicants, receive and review grant proposals, and award grants. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Service-Learning Initiative Budget Proposal Form |
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This form is designed to be completed by teachers in order to receive district funding. Information regarding various necessary resources, proposed community partnerships, and intended project outcomes is collected. Contributed by: Chicago Public Schools. |
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Year End Progress Report Template |
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2-page template for service-learning program year-end progress reporting.
Contributed by: Maine Department of Education, a program funded by Learn and Serve America. |
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| Job/Position Descriptions |
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Administrative Support Assistant II |
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Administrative Support Assistant, working for the director of service-learning center. Contributed by: Brevard Community College. |
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Become a Peer Reviewer |
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This form describes the duties and qualifications for a peer reviewer for awarding Learn and Serve America service-learning grants. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Community Partner Job Description |
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Form for recording requirements of student position(s) offered by community partner. Also lists community partner contact information. Contributed by: Brevard Community College. |
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Director |
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Directs and provides overall administrative support for service-learning program. Creates, enhances, and directs service-learning initiatives for students, faculty, staff, and community organizations. Reports to executive vice-president. Contributed by: Brevard Community College. |
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Organizational Chart |
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Sample organizational chart showing service-learning positions within structure of campus administration. Contributed by: Brevard Community College. |
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PBS TeacherSource |
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This rich site features a searchable database of more than 4,500 lesson plans, activities, and project ideas categorized by subject area. Search on 'service learning' to view lesson plans from multiple subject areas. |
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Peer Reviewer |
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This document gives information on peer reviews and the responsibilities, qualifications, time required, and benefits of being a peer reviewer of service-learning grants. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Project Coordinator |
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The Project Coordinator coordinates activities of the center for service-learning, is responsible for several key projects, and provides administrative support to the director. Contributed by Brevard Community College. |
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Service-Learning Northwest, Educational Service District 112 |
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This service disseminates examples of Best Practices in Service-Learning to help encourage service-learning excellence. Examples at this site include numerous downloadable PDF files on topics such as studies of history and issues in Africa to student participation in the Human Genome Project. |
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Service-Learning Online Course: California State University, Chico |
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This course provides instruction about the fundamentals of service-learning and one way to incorporate it into teaching and curriculum design. The course is designed specifically for preservice teachers who are studying to become teachers in K-12 settings. |
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Student Worker |
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Provides clerical and administrative support to the service-learning center. Contributed by: Brevard Community College. |
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Task List for Student Worker |
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Guide for student workers listing task categories, specific tasks, and some details. Contributed by: Brevard Community College. |
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| Lesson Planning Templates |
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Service-Learning Course Development Form |
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This one page form is meant for teachers who are interested in integrating service-learning into their course/seminar. Contributed by James Madison University. |
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Service-Learning Curricular Design Worksheet |
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This one page worksheet is meant for teachers who are interested in adding a service-learning component to their course. Contributed by Brevard Community College. |
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Service-Learning Lesson Plan Form |
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This form may be used for planning a service-learning lesson, project, or activity. It contains fields for number of participants, content area, community needs met through service, all steps of the service-learning process, as well as community contacts and resources. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Service-Learning Planning Outline |
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This outline can be used to plan a service-learning project. Areas for information regarding the project's purpose, essential questions, school/state standards being met, civic skills, career-related/life skills, community impact and involvement, design and implementation,and evaluation are included. Contributed by: Coalition of Essential Schools Northwest Service-Learning Exchange, a program funded by Learn and Serve America. |
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Service-Learning Planning Tool |
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This outline may be used in the planning and carrying out of a service-learning program or project. It begins with tips for preparation, then follows with information on service, action, and reflection. Contributed by: Chicago Public Schools. |
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| Miscellaneous Forms/Documents |
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2007-08 LSA Calendar |
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This one-page document is a calendar featuring key events for the 2007 - 2008 year, organized by category. Contributed by: Rhode Island/Massachusetts Campus Compact. |
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Academic Service Learning Kickoff Letter |
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A letter from administrators to teachers, kicking off service-learning projects for the academic year. Teachers must self-describe their position with respect to service-learning projects (continuing a project in progress, beginning a new project, interested in learning more about service-learning projects, supportive of service learning but not involved, and unsure) in order to organize an upcoming year's service-learning projects. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Agency Information Form |
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This 2-part form is designed for agency staff to fill out in order to be listed in a community partner database. Information such as contact information, agency mission, requirements for volunteers, and type of service provided by the agency is gathered. Contributed by: Chicago Public Schools. |
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Annual Recognition Award Invitation Letter |
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Sample letter inviting service-learning community to an event recognizing students, staff, faculty, and community partners for service-learning participation during academic year. Contributed by: Brevard Community College. |
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Birthday Letter |
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Sample of a birthday note for a service-learning center to send to participants to show appreciation. A database can be programmed to print the letters monthly. Contributed by: Brevard Community College. |
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Briggs Elementary Service-Learning Flyer |
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This one-page flyer functions to highlight successful examples of service-learning which have taken place within Briggs Elementary school. Contributed by: Cherokee Nation. |
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Collaboration Handout |
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This 3-page handout focuses on collaboration and how all facets of the service-learning community can work together successfully. Contributed by: Cherokee Nation. |
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Collinsville Service-Learning Flyer |
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This one-page flyer functions to highlight successful examples of service-learning which have taken place within Collinsville public schools. Contributed by: Cherokee Nation.
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Community Partner/Project Review |
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Community partner information form for recording contact details, positions available, and comments. Contributed by: Brevard Community College. |
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Community Partner Contact Log |
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Form for recording date and comments related to communications with community partner. Contributed by: Brevard Community College. |
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Community Partner Orientation Schedule |
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Sample schedule with contact information for each community partner. Lists times and locations for participants to attend related orientation. Contributed by: Brevard Community College. |
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Cover Letter for After-School Programs |
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This letter for parents describes various after-school activities for children in elementary, middle, and high school. Contributed by: Tennessee Academic Civic Engagement Program, a program funded by Learn and Serve America. |
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Equipment Security and Usage Policy |
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This is an example of a technology/equipment usage policy designed to address staff and volunteer usage of technology associated with day-to-day business. It is provided to all staff and volunteers upon their acceptance to serve in official organization roles. Contributed by: Camp Fire USA, a program funded by Learn and Serve America. |
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Follow-Up and Feedback Letter |
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Letter sent to student about placement if student has not replied to contact phone calls for six weeks. Form gives students a chance to check off a reason and give comments. Contributed by: Brevard Community College. |
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Fourth Credit Option Reminder |
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Letter to remind student of requirement to attend mid-semester seminar to qualify for fourth credit option. Contributed by: Brevard Community College. |
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Holiday Greetings Postcard |
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Sample post card to send holiday greetings to students, faculty, administrators, and community partners from the service-learning center. Contributed by: Brevard Community College. |
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Internet Safety Pledge |
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This brief statement communicates an organization's commitment to ensuring safe internet practices by children. Contributed by: Camp Fire USA, a program funded by Learn and Serve America. |
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Invitation to Service-Learning Demonstration |
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This invitation is designed for an event in which students present the work they have completed in a service-learning project on the human impact of war. Contributed by: Northwest Service-Learning Exchange, a program funded by Learn and Serve America. |
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Learn And Serve America Year 2 Progress Report |
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This two-page document contains notes from the first LSA meeting which recaps year one and discusses program possibilities for year 2. Contributed by: Rhode Island Campus Compact. |
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Letter of Recommendation |
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Sample letter from a staff member at a service-learning center recommending a student based on abilities and talents demonstrated through service-learning project participation. Contributed by: Brevard Community College. |
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Post-Service Reflection Form |
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Students may complete this form after finishing all other steps of their service-learning project. Contributed by: Chicago Public Schools. |
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Pre-Service Preparation |
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Students complete this form before beginning a service-learning project, describing the project and their role in it, the agency they are working with, the needs they will address through the project, and what they expect to get out of the experience. Contributed by: Chicago Public Schools. |
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Project Essential Elements Template |
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This one-page document provides a template to help you identify key elements of a complete project proposal. Contributed by the Connecticut Area Health Education Center, a program funded by Learn and Serve America.
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Project Progress Report |
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This 6-page project progress report includes sections for documenting in-kind contributions, budget, personal growth and development, and general information such as the project goals, key milestones, etc. Contributed by: Learn and Serve Idaho. |
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Project Progress Report Guidelines |
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This 4-page document instructs grantess how to properly fill out the Project Progress Report and clarifies technical terms related to the report. Contributed by: Learn and Serve Idaho. |
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Recognition Event Final Checklist (Checklist 3) |
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Final checklist for recognition event, listing materials and requirements for setup. Contributed by: Brevard Community College. |
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Recognition Event Pre-Preparation Checklist (Checklist 1) |
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Checklist for tasks leading up to a recognition event. Contributed by: Brevard Community College. |
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Recognition Event Prep & Work Checklist (Checklist 2) |
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Checklist for recognition event planning. Contributed by: Brevard Community College. |
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Reimbursement Form |
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Reimbursement form for student organizations for refreshments, office supplies, etc.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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RICC/MACC Learn And Serve America Showcase 2008 Agenda |
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This nine-page document includes the agenda for the 2008 Campus-Community Partnership for Youth Conference, as well as a registration form. Contribusted by: Rhode Island/Massachusetts Campus Compact. |
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Sallisaw Service-Learning Project Flyer |
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This one-page flyer serves to publicize the success Sallisaw public schools achieved on their service-learning project. Contributed by: Cherokee Nation. |
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Scholarship Availability Reminder Letter |
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Letter posted to remind students to apply for service-learning scholarships. Contributed by: Brevard Community College. |
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Service-Learning Informational Handout |
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This one-page document serves as an informational handout for those who have yet to be introduced to service-learning. Information about what service-learning is, as well as the benefits that stand to be gained from service-learning are discussed. Contributed by: Anne Arundel Community College. |
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Service-Learning Orientation Script |
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This two-page document serves as guidelines for an instructor running a service-learning course. An additional handout (title Service-Learning Informational Handout) provides information on service-learning, for those unfamiliar with it. Contributed by: Anne Arundel Community College. |
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Service Quote Cards |
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Printable cards with inspirational quotes about service and service-learning. Contributed by: Utah State Office of Education, a program funded by Learn and Serve America. |
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Student Activity Profile Card |
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Card that student fills out for service-learning center to keep on file. Provides center staff with details on student's service for when student uses service-learning center as a job reference. Contributed by: Brevard Community College. |
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Student Community Service-Learning Contact Log |
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Log for recording communications or actions pertaining to student participant. Contributed by: Brevard Community College. |
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Student Recruitment Form |
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This one page organizational template allows students who are interested in service-learning to sign up for more information via a mailing list. |
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Student Referral Form |
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Contact information on community partner for student's reference, formatted as motivational bookmark. Contributed by: Brevard Community College. |
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Student Status Form |
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This one page document serves as both a tracking and placement form for students who are either already engaged in service-learning, or just interested in service-learning. Contributed by: Brevard Community College. |
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Student Status Verification Form |
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This one page form is meant for students interested in participating in service-learning. This form collects information regarding the student's name and contact information, the placement site where service-learning is completed, as well as the placement status (referred, placed, not placed). Contributed by Brevard Community College. |
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Supporting Service and Academic Service-Learning at Home |
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This handout for parents describes what service-learning is, and gives suggestions for how parents might support their children in service-learning activities. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Telephone Follow-Up Guidelines |
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Two-page cue card for fielding or initiating various types of telephone conversations: questions about program; questions about service-learning center; follow-up after placement, orientation, and start of participation. Contributed by: Brevard Community College. |
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Thank You Letter to Student, Version 1 |
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Letter thanking student for participation in service-learning program. Contributed by: Brevard Community College. |
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Thank You Letter to Student, Version 2 |
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Second version of a thank you letter for students who have already received Version 1 after a previous service-learning experience. Contributed by: Brevard Community College. |
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Tool for Documentation and Sharing |
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Teachers and practitioners can use this tool for planning a service-learning project and/or sharing a project with other teachers and/or practitioners. Administrators can then compile successful projects for others to use or adapt. Contributed by: Chicago Public Schools. |
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Website Privacy Policy |
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This Privacy Policy covers Camp Fire USA’s treatment of personally identifiable information that Camp Fire USA collects when you are on the Camp Fire USA Official Alumni Web page or any other portion of this Web site, and when you use Camp Fire USA services. It also covers our policy related to Camp Fire USA’s use of official social networking sites. It can be used as an example for other organizations who collect personal information through their websites. Contributed by: Camp Fire USA, a program funded by Learn and Serve America. |
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Workshop Checklist |
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Checklist for planning a workshop: preparation, materials, venue, refreshments, debriefing. Contributed by: Brevard Community College. |
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Youth Advisory Board Recommendor Form |
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This form is designed for use by adults who wish to recommend a student to participate in a youth advisory board. Recommenders comment on the youth's involvement in their community, particular strengths, and leadership capacity. Contributed by: Alliance for a Healthier Generation. |
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| Mission Statements |
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Community Service-Learning Advisory Council |
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A mission statement and description of the roles and responsibilities for the L'Anse Creuse Public Schools Community Service-Learning Advisory Council. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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| Policies/Guidelines |
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"LEADERS" Model of Service-Learning |
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This document shows the "LEADERS" model of service-learning, which includes the following seven steps: look and listen, examine issues, agree on a project, develop a plan, execute the plan, review outcomes, and showcase. Contributed by: Texas Center for Service-Learning, a program funded by Learn and Serve America. |
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Advisory Goals Checklist |
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This checklist may be used during the planning and execution of a service-learning project. Sections included involve institutionalization of service-learning, planning steps, curricular inclusion, youth voice, and assessment and evaluation steps. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Community Partner Checklist |
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Short checklist to pass to community partner for keeping track of details such as confirming placement and work schedule, providing orientation and training, etc. Contributed by: Brevard Community College. |
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Employee Service Project Checklist |
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Checklist for campus employee who will be participating in Employee Service Project opportunity. Contributed by: Brevard Community College. |
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Employee Service Project Participation Guidelines |
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Guidelines for an Employee Service Project program, where campus employees are eligible to perform community service for 1.5 hours per week during regular work hours. Contributed by: Brevard Community College. |
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Field Studies Faculty Tip Sheet |
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This tip sheet is intended to help faculty members set up their service-learning field studies course. Contributed by: Brevard Community College. |
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Grant Management Procedures |
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This one page document lists five procedures for managing grants. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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Guide to Application Procedure |
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Two-page guide to the application procedure from matching to placement to end of assignment. Contributed by: Brevard Community College. |
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Guide to Building Better Community Relationships |
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This two-page pamphlet serves as a guide for
community-based organizations and institutions of higher education to build better service-learning relationships. Contributed by: The Community Side of Service Learning. |
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Mentoring Program Operating Procedures |
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Brief one-page operation procedures and program design for a high school mentoring program.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Monitoring Policy |
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Sample program monitoring/evaluation policy. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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Overview of Service Learning |
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This 7-page document serves as introduction to service-learning. A plethora of information is provided including: key definitions associated with service-learning, the essential elements of service-learning, as well as the beneficial aspects associated with service-learning. Contributed by: Brevard Community College. |
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Reflective Journal Guidelines |
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This two page document informs students how to make a reflective journal after completing their service-learning experience. Tips for making the journal, as well as expected ingredients, are listed. Contributed by: Brevard Community College. |
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Roles of the Service-Learning Center |
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This one page document concisely differentiates the roles of the service-learning center verse the roles of service-learnging faculty, to better direct students to their proper source of information. Contributed by: Brevard Community College. |
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Service-Learning Fact Sheet |
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This one page fact sheet states the service-learning center's mission statement and main functions, as well as strategies to meet particular objectives and guidelines. Contributed by: Brevard Community College. |
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Service-Learning Field Studies Student Guidelines |
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This one page document states the guidelines students must follow in order to receive an extra elective credit towards their service-learning course. Contributed by: Brevard Community College. |
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Service-Learning Option Development Contractual Guidelines |
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Guidelines for instructor to add service-learning option to course. Contributed by: Brevard Community College. |
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Service-Learning Option Development Guidelines |
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This one page document is suggested for teachers who utilize service-learning that wish to add a new service-learning option to their course. Contributed by: Brevard Community College. |
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Service-Learning Project Certification Form |
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This form may be completed by practitioners and submitted to agency/institution administrators in order to communicate an overview of the goals and various aspects of a service-learning project. Contributed by: Chicago Public Schools. |
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Service Hours on Academic Transcript Criteria |
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Criteria for including service hours on academic transcript. Contributed by: Brevard Community College. |
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Services Available to the Faculty |
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This one page document details the multiple services available/offered to faculty members that teach service-learning courses. Contributed by: Brevard Community College. |
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Sub-Grantee Training Procedures |
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This one page document procedures for sub-grantee trainings. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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The Service-Learning Process |
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This document displays the various steps within a service-learning project: student voice and choice, investigation, identifying community partners, planning and preparation, project implementation, and demonstration. Contributed by: Texas Center for Service-Learning, a program funded by Learn and Serve America. |
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| Promotional Materials |
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Citizen Scholar Bookmark |
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Bookmark listing requirements for Citizen Scholars' Program. Contributed by: Brevard Community College. |
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Civic Involvement Brochure |
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Two-page brochure connecting service-learning to civic involvement. Contributed by: Brevard Community College. |
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Course Promotion Flyer: Community Involvement |
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Flyer promoting Community Involvement course which examines the principles and features of service-learning. Contributed by: Brevard Community College. |
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Employee Service Project Brochure |
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Two-page brochure describing details of particpation in Employee Service Project. Contributed by: Brevard Community College. |
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Employee Service Project Flyer |
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Flyer promoting Employeee Service Project. Contributed by: Brevard Community College. |
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Employee Service Project Flyer: Why, How, Now |
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Flyer promoting Employee Service Project and explaining why and how to volunteer. Contributed by: Brevard Community College. |
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Employee Service Project Options Flyer |
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Flyer listing options for participation in Employee Service Project program. Contributed by: Brevard Community College. |
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Fourth Credit Option/Field Studies Flyer |
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Flyer promoting fourth credit option through Service-Learning Field Studies I. Lists requirements and includes student checklist of steps to complete. Contributed by: Brevard Community College. |
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Get On Track Brochure |
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Brochure listing steps for student involvement in service-learning. Contributed by: Brevard Community College. |
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Human Service Experience Poster |
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Poster promoting Human Service Experience class which incorporates service-learning into a wide range of social service topics. Contributed by: Brevard Community College. |
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Project Reach, Fly, Soar Brochure |
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The Reach, Fly, Soar program promotes service-learning opportunities for students with disabilities. This brochure gives students program details and requirements. Contributed by: Brevard Community College. |
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Project Reach, Fly, Soar Poster |
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Poster promoting the Reach, Fly, Soar program, a service-learning project which involves and supports students with disabilities in service-learning activities. Contributed by: Brevard Community College. |
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Recruitment Information Placard |
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Sample of information placard ("table tent") to print on card stock and display at recruitment events. Contributed by: Brevard Community College. |
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Service-Learning Power Bookmark |
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This bookmark defines service-learning and lists the multiple benefits to be gained from participating in a service-learning setting. Contributed by: Brevard Community College. |
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Student Recruitment Form |
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This one page document serves as an organizational form in which students who are potentially interested in service-learning can request more information on it, particularly pertaining to their academic major. Contributed by: Brevard Community College. |
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| Public Relations Communications |
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"Elevator Speech" Template |
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The elevator speech is used to quickly and conversationally explain your story. The following worksheet provides
you with a template to help make the speech. Contributed by: Northwestern Connecticut Area Health Education Center, a program funded by Learn and Serve America. |
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Letter to Elected Officials |
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This letter is intended to be a general guide to for writing letters to legislators about the success stories and benefits of service-learning.
Contributed by: California Campus Compact, a program funded by Learn and Serve America. |
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Social Networking Statement |
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This brief statement is an example of one that an organization might post on a social networking site. Contributed by: Camp Fire USA, a program funded by Learn and Serve America. |
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| Site Visit Documents |
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Service-Learning Site Visit Tool and Report |
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This form may be used during a site visit to a school or district that is conducting service-learning projects. Contributed by: Massachusetts Department of Elementary and Secondary Education, a program funded by Learn and Serve America.
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Site Visit Form |
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Two-page form used to document site visits. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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Site Visit Monitoring Tool |
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This one page document serves as a proposed agenda for site visits, including information on what relevant materials to bring. Contributed by: Rhode Island and Massachusetts Campus Compact. |
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Site Visit Protocol |
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This two page document details the pre-visit, visit and post-visit procedures when visiting a site. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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| Surveys |
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Academic Affairs Questionnaire |
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This 4-page questionnaire is meant to assess the state of the university's partnerships with the community in an attempt to define and describe the various partnerships that engage community members and organizations, whether the connections are personal, professional, for student life, or for academic courses and programs. Contributed by: Metropolitan State University. |
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Campus Compact Service-Learning Survey |
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This survey is designed to be administered over the phone (or on the web) to community recognition of service-learning activity by local university students, faculty, and staff involved in service-learning programs or courses. It can measure the impact and outcomes of service-learning projects on communities around universities that include service-learning components in coursework. Contributed by: Indiana University-Purdue University Indianapolis Center for Service and Learning. |
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Civic Engagement Survey |
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This 8-page survey is designed to survey service-learning participants' service experience, including how the experience has affected participants personally. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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College Student Post-Program Survey |
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This 1-page survey with additional room to write in answers is a post-program survey for college students asking students to evaluate their experience with the service-learning program they participated in.
Contributed by: Grand Valley State University and Michigan Campus Compact, a program funded by Learn and Serve America. |
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College Student Pre-Program Survey |
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This 1-page survey with extra room for writing in is designed to survey college students on their attitudes and beliefs towards their college/university experience.
Contributed by: Grand Valley State University and Michigan Campus Compact, a program funded by Learn and Serve America. |
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College Student Survey |
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This survey is designed to collect information and feedback from college students regarding social problems, civic engagement skills, problem-solving skills, leadership skills, and other academic skills, as well as responses regarding a social justice continuum. Contributed by: Great Cities Great Service, a program funded by Learn and Serve America.
The Learn and Serve America, Great Cities Great Service grant led by Otterbein College, Ohio Campus Compact, and University of Cincinnati is a state-wide consortium to mobilize college students and urban youth volunteers in civic service through their model initiative, youthLEAD (Learn, Engage, Act & Decide). Twelve campuses are currently incorporating youthLEAD into one or more service-learning courses on their campuses. Participants serve side-by-side with urban youth
as capacity builders, solving community problems, serving those living in poverty, and strengthening urban wellness.
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Community College Grant Needs Assessment Survey |
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2-page service-learning grant needs assessment survey for community college faculty and/or administration.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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Community College Post-Service-Learning Survey |
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This 2-page survey is designed to measure general attitudes and perceptions of service-learning students.
Contributed by: John Jay College of Criminal Justice, a program funded by Learn and Serve America. |
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Community Needs Assessment Questionnaire |
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This questionnaire may be administered to community members in order to assure that students are addressing "true" community needs. Problematic and important issues are addressed, as well as potential steps for working to solve these issues. Contributed by: Michigan Community Service Commission, a program funded by Learn and Serve America. |
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Community Partner Educator Survey |
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This survey was designed to collect feedback from community partner educators regarding school partner efficacy/capacity, reciprocal partnership, as well as satisfaction with the community needs that the project addressed and ongoing support needs. Contributed by: Great Cities Great Service, a program funded by Learn and Serve America.
The Learn and Serve America, Great Cities Great Service grant led by Otterbein College, Ohio Campus Compact, and University of Cincinnati is a state-wide consortium to mobilize college students and urban youth volunteers in civic service through their model initiative, youthLEAD (Learn, Engage, Act & Decide). Twelve campuses are currently incorporating youthLEAD into one or more service-learning courses on their campuses. Participants serve side-by-side with urban youth
as capacity builders, solving community problems, serving those living in poverty, and strengthening urban wellness.
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Community Partner Survey |
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This survey is designed to collect feedback from community partners regarding efficacy/capacity, and reciprocal partnerships. Contributed by: Great Cities Great Service, a program funded by Learn and Serve America.
The Learn and Serve America, Great Cities Great Service grant led by Otterbein College, Ohio Campus Compact, and University of Cincinnati is a state-wide consortium to mobilize college students and urban youth volunteers in civic service through their model initiative, youthLEAD (Learn, Engage, Act & Decide). Twelve campuses are currently incorporating youthLEAD into one or more service-learning courses on their campuses. Participants serve side-by-side with urban youth
as capacity builders, solving community problems, serving those living in poverty, and strengthening urban wellness.
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Community Partner Survey |
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This 2-page survey is designed to measure general attitudes and perceptions of service learning community
partner organizations, agencies, and/or schools.
Contributed by: John Jay College of Criminal Justice, a program funded by Learn and Serve America. |
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Department Questionnaire |
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This 6-page survey is meant to gather input from department members regarding a university's ability to connect with community partnerships. Contributed by: Metropolitan State University. |
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End-of-Year Partner Survey |
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This survey is designed for community partner supervisors as a means of measuring the success and planning the improvement of a Community Service Work-Study Program (CSWSP). This survey also provides invaluable data on the outcomes of the program. Contributed by: Oberlin College Center for Service and Learning, Community Service Work Study Program, a program funded by Learn and Serve America. |
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End of Course Survey |
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This 2-page survey contains sections on personal information, principles of undergraduate learning, feedback on a course, and reflection activities in a course. It is designed to be completed upon completion of an undergraduate course with a service-learning component. Contributed by: IUPUI Center for Service Learning. |
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Engaged Campus Survey |
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This three-page survey is meant to assess civic engagement across the campus, particularly the various partnerships that engage community members and organizations, whether the connections are personal, professional, for student life, or for academic courses and programs. Contributed by: Metropolitan State University. |
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Faculty Questionnaire |
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This four page questionnaire is geared towards faculty members with the goal of attempting to define and describe the various partnerships that engage community members and organizations, whether the connections are personal, professional, for student life, or for academic courses and programs. Contributed by: Metropolitan State University.
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Faculty Satisfaction Survey |
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2-page satisfaction survey for faculty members involved in service-learning.
Contributed by: Amy Anderson and Keren Zuniga McDowell, Student Coalition for Action in Literacy Education (SCALE), a program funded by Learn and Serve America. |
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Faculty Service-Learning Survey |
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This 2-page survey is designed to measure general attitudes and perceptions of faculty who use service
learning. Contributed by: John Jay College of Criminal Justice, a program funded by Learn and Serve America. |
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First Impressions Survey |
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This 1-page survey is designed to evaluate individuals impressions of a center for service-learning.
Contributed by: Brevard Community College |
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Instructions for Administering Older Youth Program Feedback Survey |
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These instructions are for those administering an older youth program feedback survey-- from obtaining and distributing the surveys to preparing and submitting the surveys. Contributed by: West Virginia Commission for National and Community Service, a program funded by Learn and Serve America. |
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Office of the President Questionnaire |
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This 5-page survey asks information pertaining to the Office of the President in an attempt to define and describe the various partnerships that engage community members and organizations, whether the connections are personal, professional, for student life, or for academic courses and programs. Contributed by: Metropolitan State University. |
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Older Youth Program Feedback Survey |
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This survey, designed for use after a watershed ecology service-learning program, allows older youth participants to share feedback on what they did and did not like about the program, their changes in knowledge and attitude, and suggestions for program improvement. Contributed by: West Virginia Commission for National and Community Service, a program funded by Learn and Serve America. |
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Partner Feedback Survey |
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This survey is designed to collect feedback from community partners on the benefits of collaborating with youth on a service-learning program. Contributed by: West Virginia Commission for National and Community Service, a program funded by Learn and Serve America. |
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Partner Feedback Survey Instructions |
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These instructions are written for use with the Partner Feedback Survey, with steps from obtaining and administering the surveys to submitting the surveys for aggregation. Contributed by: West Virginia Commission for National and Community Service, a program funded by Learn and Serve America. |
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Service-Learning Educator Survey |
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This survey was designed to collect feedback from educators who had recently participated in a service-learning project, regarding pedagogy, institutionalization of service-learning practices, and impact on students. Contributed by: Great Cities Great Service, a program funded by Learn and Serve America.
The Learn and Serve America, Great Cities Great Service grant led by Otterbein College, Ohio Campus Compact, and University of Cincinnati is a state-wide consortium to mobilize college students and urban youth volunteers in civic service through their model initiative, youthLEAD (Learn, Engage, Act & Decide). Twelve campuses are currently incorporating youthLEAD into one or more service-learning courses on their campuses. Participants serve side-by-side with urban youth
as capacity builders, solving community problems, serving those living in poverty, and strengthening urban wellness.
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Service-Learning Start-Up Faculty Survey |
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Survey for faculty to indicate involvement with and interest in community service activities connected with course requirements. Faculty can state what impediments might exist to including service-learning in their course(s). Contributed by: Brevard Community College. |
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Student Affairs Questionnaire |
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This 3-page survey functions to define and describe the various partnerships that engage community members and organizations, whether the connections are personal, professional, for student life, or for academic courses and programs. Contributed by: Metropolitan State University. |
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Student Post-Service Survey |
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2-page post-service community college student survey.
Contributed by: Center for Learning Through Service,
Anne Arundel Community College, a program funded by Learn and Serve America. |
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Student Post-Service Survey |
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This two-page survey is designed to measure general attitudes and perceptions of service-learning students. This information will be used to improve the college's service-learning program. |
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Student Questionnaire |
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In an attempt to assess students' connections within the community, this 3 page survey establishes a student's history and experience with service-learning organizations. Contributed by: Metropolitan State University. |
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Youth Impact Survey |
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The purpose of this 2-page survey is to identify how the program impacts youth, and solicit program feedback from participants. Contributed by: Washington Campus Compact, a program funded by Learn and Serve America. |
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youthLEAD K-12 Survey |
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This survey is designed to collect information from K-12 students about gender, grade level, ethnic background, school and community activity involvement, and attitudes about community service and academics. Contributed by: Great Cities Great Service, a program funded by Learn and Serve America.
The Learn and Serve America, Great Cities Great Service grant led by Otterbein College, Ohio Campus Compact, and University of Cincinnati is a state-wide consortium to mobilize college students and urban youth volunteers in civic service through their model initiative, youthLEAD (Learn, Engage, Act & Decide). Twelve campuses are currently incorporating youthLEAD into one or more service-learning courses on their campuses. Participants serve side-by-side with urban youth
as capacity builders, solving community problems, serving those living in poverty, and strengthening urban wellness.
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Youth Program Feedback Survey |
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This survey, designed for younger participants of a watershed service-learning program, collects feedback on youth enjoyment, as well as content and service interest levels after completing the program. Contributed by: West Virginia Commission for National and Community Service, a program funded by Learn and Serve America. |
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| Time Sheets |
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Employee Service Project Timesheet |
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This blank timesheet allows Employee Service Project (ESP) participants to keep track of the hours they dedicate to community service. Contributed by: Brevard Community College. |
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Final Timesheet Evaluation |
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Meant for community service-learning participants, this final timesheet allows work hours to be recorded and officially verified by the Community Partner Volunteer Coordinator. Contributed by: Brevard Community College. |
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Hours Reporting Form |
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This form can be used to record weekly hours performed of community-service.
Contributed by: Brevard Community College |
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Multiple Placement Site Timesheet |
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This timesheet functions as an organizational tool meant for community service-learning participants with multiple jobs. Students not only fill out the amount of hours, but what their duties included as well. Contributed by: Brevard Community College. |
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Service-Learning Timesheet |
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This form may be used to keep track of the student's time at a service site. When the student's service project has ended, this form may be returned to a school's Service Learning coordinator for the purpose of recording the appropriate number of hours earned. Contributed by: Chicago Public Schools. |
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Student Service-Learning Hour Report |
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One-page form for recording number of service-learning hours per week. Contributed by: Northwest Indian College, a program funded by Learn and Serve America. |
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Weekly Mentoring Log |
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Weekly individual mentoring log/timesheet for a high school mentoring program.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America. |
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| Workplans |
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Community Involvement Course Objective |
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This course objective clarifies class prerequisites and gives a brief description of the class, including lab fees, college credit hours and contact hours. Contributed by: Brevard Community College. |
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Developing A Service-Learning Course Form |
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This blank form is provided as a resource for teachers who want to integrate service-learning into their course or seminar. Contributed by: James Madison University, Harrisonburg, Virginia. |
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Field Studies Course Objective |
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This course objective clarifies class prerequisites and gives a brief description of the class, including course fees, college credit hours and contact hours. Contributed by: Brevard Community College. |
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Honors Community Involvement Course Objective |
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This course objective clarifies class prerequisites and gives a brief description of the class, including course fees, college credit hours and contact hours. Contributed by: Brevard Community College. |
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Human Service Experience Course Objective |
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This course objective/plan provides a brief description of the class and includes information on class prerequisites, fees, and hours. Contributed by: Brevard Community College. |
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Incorporating Service Learning Checklist |
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This checklist gives helpful step-by-step instructions (for a 16 week period) to any teacher who wishes to integrate service-learning into their curriculum. Contributed by: Brevard Community College. |
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Logic Model/Work Plan |
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Logic Model/Work Plan for a high school mentoring program. Includes columns for: needs; inputs; activities; outputs; intermediate outcomes; and end outcomes.
Contributed by: Tennessee Academic Civic Engagement Program (TACEP), a program funded by Learn and Serve America.
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Service-Learning Course Development Worksheet |
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Two-page course development worksheet, including guidelines on how to create an effective service-learning project. Contributed by: Northwest Indian College, a program funded by Learn and Serve America. |
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Service-Learning Designated Course Request Form |
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This one-page document is meant for faculty wishing to offer designated service-learning courses, they are asked to identify their service-learning enhanced courses each year by submitting a syllabus for each course along with information about the course on the Service-Learning Designated Course Request form. Contributed by: University of North Dakota. |
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Service-Learning Student Planning Guide |
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This form serves as a student planning guide to facilitate the immersion into the Service-Learning community. The student lists top Service-Learning agency choices in order of preference by, as well as their major learning objectives. Contributed by: Brevard Community College. |
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Student Process of Service-Learning |
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This guidance form outlines all details of the 3 step process students must go through when entering into the Service-Learning field. Contributed by: Brevard Community College.
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