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Sample Forms and Templates

This collection of sample documents is designed to provide ideas and templates for creating your own forms without starting from scratch. Please customize them and adapt them to fit your own needs. Samples are contributed by service-learning practitioners.

DISCLAIMER: These documents are only samples—they are not endorsed or approved by the Corporation for National and Community Service or the National Service-Learning Clearinghouse, and they have not been reviewed for compliance with program or funding regulations, or for accessibility.

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RICC/MACC Learn And Serve America Showcase 2008 Agenda

This nine-page document includes the agenda for the 2008 Campus-Community Partnership for Youth Conference, as well as a...
Year 2 Renewal Application

This two-page document specifically lists the expectations of the application, broken down clearly into three different...
Site Visit Monitoring Tool

This one page document serves as a proposed agenda for site visits, including information on what relevant materials to...
Service-Learning Initiative Budget Proposal Form

This form is designed to be completed by teachers in order to receive district funding. Information regarding various...
Service-Learning Project Certification Form

This form may be completed by practitioners and submitted to agency/institution administrators in order to communicate an...
Tool for Documentation and Sharing

Teachers and practitioners can use this tool for planning a service-learning project and/or sharing a project with other...
Post-Service Reflection Form

Students may complete this form after finishing all other steps of their service-learning project. Contributed by:...
Pre-Service Preparation

Students complete this form before beginning a service-learning project, describing the project and their role in it, the...
Service-Learning Timesheet

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...
Student Service-Learning Agreement

This form serves as a permission slip. It is not mandatory, however it is recommended that this form be completed by each...