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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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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 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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| 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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| 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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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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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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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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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 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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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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