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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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Family Relationship Index Form

The Family Relationship Index is a structured interview to: (a) evaluate family conditions, (b) locate specific problems...
The Service-Learning Process

This document displays the various steps within a service-learning project: student voice and choice, investigation,...
Notice of Funding Availability (NOFA)

Sample of a Notice of Funding Availability, with sections on the purpose of the funding, upcoming training, and...
Service-Learning Option Development Guidelines

This one page document is suggested for teachers who utilize service-learning that wish to add a new service-learning...
Civic-Minded Graduate Scale - CSL version

This survey is designed to measure the impact of involvement with IUPUI's Center for Service and Learning programs on...
Cover Letter for After-School Programs

This letter for parents describes various after-school activities for children in elementary, middle, and high school....
Campus Compact Service-Learning Survey

This survey is designed to be administered over the phone (or on the web) to community recognition of service-learning...
End-of-Year Partner Survey

This survey is designed for community partner supervisors as a means of measuring the success and planning the...
Monitoring Policy

Sample program monitoring/evaluation policy. Contributed by: Washington Campus Compact, a program funded by Learn and...
Student Status Form

This one page document serves as both a tracking and placement form for students who are either already engaged in...