The forms listed below are required for Service-Learning and Public Service placement. Click on the links below to view and print the forms in PDF format. Adobe Acrobat Reader is required to view these forms.Copies may also be obtained from the Service-Learning and Public Service Center in A4-224. Please check with your instructor or the Center for form deadlines.
How to Enroll for Service Learning– Step by Step InstructionsDetailed instructions on how to properly complete forms
1. Waiver of Liability, Assumption of Risk & Indemnity AgreementWaiver of claims against San Jose Evergreen Community College District
Basic student information to enroll student into program and assist in placement
Contract between student and community agency specifying volunteer responsibility and schedule
4. Service Log
Time sheet for students to track hours/days of volunteer service
Evaluation of student volunteer's performance completed by community agency supervisor
Evaluation on student volunteer's feedback on Service-Learning experience
How to Enroll for Public Service – Step by Step InstructionsDetailed instructions on how to properly complete forms
Service Agreement Contract between student and community agency specifying volunteer responsibility and schedule
Evaluation on student volunteer's feedback on Public Service experience
Student-Initiated Agency ApplicationFor students who wish to complete his/her Service-Learning placement at an agency not included on the EVC Center for Service-Learning & Public Service list of approved sites. This form must be completed along with Community Agency Application (see form below).
Community Agency ApplicationFor non-profit agencies wishing to establish a partnership with the Center for Service-Learning & Public Service
Short-Term Service LogTime sheet to track hours/days on on-day volunteer opportunities at multiple locations
Publicity & Photo ReleaseContract granting permission to use student's name, likeness, image, voice, and/or appearance on behalf of EVC Center for Service-Learning & Public Service
Note: When printing forms from this website, it is your responsibility to print duplicate copies for your instructor, community supervisor, and yourself.
Location: A4-224(Acacia bldg, 2nd Floor)
Mon-Thurs: 9:00am - 1:00pm
Marjorie Clark, Program CoordinatorE: Marjorie.Clark@evc.edu
Tiffany O'Brien, Program AssistantE: