Service-Learning Forms

The following forms are available for faculty, students, and site supervisors. Faculty, if you find these forms do not fit with your class assignment, please let us know and we will work with you to develop a different documentation method.

Service-Learning Agreement

Purpose

  • To clarify expectations and learning objectives.
  • To keep a record of students involved in Service-Learning.
  • To facilitate communications with community partners.
  • To promote safety and reduce risk.

Procedure

  1. Complete the Instructor section at the top of the Agreement.
  2. Fill in the learning objectives for the service experience.
  3. Mark the due date by when students should return the completed agreement to you, usually two weeks after the start of the quarter. (Note: Some sites will not accept Service-Learning students after the second week of the quarter.)
  4. Copy both sides of the agreement to give to students.
  5. Have students read both sides of the Service-Learning Agreement in class, and go over the requirements with them. This is crucial for risk management.
  6. Ask the students to take the Agreement to the site and return the signed form to you by the due date.
  7. Please send originals or copies to the Service-Learning Office at SY SS 215.

Evaluation of Students by Site Supervisors

Purpose

  • To account for students’ successful completion of service assignments.
  • To provide faculty and students with feedback on their service.

Procedure

  1. Complete the PCC Instructor section, including the due date (so that you will receive the form back before the end of the quarter).
  2. Copy the form (or one of your own) for students to take to their supervisors.
  3. Supervisors complete the evaluation form at the end of the quarter.
  4. Please send originals or copies to the Service-Learning Office at SY SS 215.

Evaluation of Sites by Students

Purpose

  • To assess students’ Service-Learning experience.
  • To develop a database of recommended Service-Learning community sites.

Procedure

  • Students complete the evaluation forms in class at the end of the quarter.
  • Please send originals or copies to the Service-Learning Office at SY SS 215.

Service Learning

How to Get Involved