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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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Supporting Service and Academic Service-Learning at Home

This handout for parents describes what service-learning is, and gives suggestions for how parents might support their...
Assessment Rubric for the Sustainability of High Quality Service-Learning

This rubric is intended to provide school-based service-learning practitioners with a guide for planning, developing and...
End-of-Year Evaluation

Evaluation form that collects data on number and type of participants, activities carried out, and benchmarks/standards...
Overview of Service Learning

This 7-page document serves as introduction to service-learning. A plethora of information is provided including: key...
Roles of the Service-Learning Center

This one page document concisely differentiates the roles of the service-learning center verse the roles of service-...
Reflective Journal Guidelines

This two page document informs students how to make a reflective journal after completing their service-learning...
Service-Learning Fact Sheet

This one page fact sheet states the service-learning center's mission statement and main functions, as well as strategies...
Reflection Seminar Debriefing Form

This one page document serves as a debriefing form for students to reflect on their overall service-learning experience....
Inner Circle/Outer Circle Feedback Technique Form

This one page survey is meant to engage classroom discussion as students evaluate and give feedback about their service-...
Daily Journal Template

This blank journal page allows students to keep track of their daily achievements and reflect on them. Contributed by...