Required Service-Learning forms are listed below. Return all forms by their deadlines. You may print copies of each of the forms below, or obtain copies from the Service-Learning Center in RD-216.
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How to Enroll – Step by Step InstructionsDetailed instructions on how to properly complete forms
Student Enrollment ApplicationBasic student information to enroll student into program and assist in placement
Hold Harmless AgreementWaiver of claims against San Jose Evergreen Community College District
Service AgreementContract between student and community agency specifying volunteer responsibility and schedule
Service LogTime sheet for students to track hours/days of volunteer service
Supervisor's Evaluation of StudentEvaluation of student volunteer's performance completed by community agency supervisor
Student Evaluation of Service-Learning ExperienceEvaluation on student volunteer's feedback on Service-Learning 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.
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. If you wish you may obtain our NCR forms which contain duplicates from the Center located in the Roble building, RD-216.
Center for Service-Learning & Public Service
3095 Yerba Buena Road, Roble RD-216San Jose, CA 95135O: 408.223.6770E: email@example.comMonday-Thursday: 9am-1pm
Marjorie Clark, Service-Learning CoordinatorE: Marjorie.Clark@evc.edu