Forms

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.

Adobe Acrobat Reader is required to view these forms.

How to Enroll – Step by Step Instructions
Detailed instructions on how to properly complete forms

Student Enrollment Application
Basic student information to enroll student into program and assist in placement

Hold Harmless Agreement
Waiver of claims against San Jose Evergreen Community College District

Service Agreement
Contract between student and community agency specifying volunteer responsibility and schedule

Service Log
Time sheet for students to track hours/days of volunteer service

Supervisor's Evaluation of Student
Evaluation of student volunteer's performance completed by community agency supervisor

Student Evaluation of Service-Learning Experience
Evaluation on student volunteer's feedback on Service-Learning experience

Student-Initiated Agency Application
For 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 Application
For non-profit agencies wishing to establish a partnership with the Center for Service-Learning & Public Service

Short-Term Service Log
Time sheet to track hours/days on on-day volunteer opportunities at multiple locations

Publicity & Photo Release
Contract 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.

​CONTACT INFO:​

Center for Service-Learning & Public Service

3095 Yerba Buena Road, Roble RD-216
San Jose, CA 95135
O: 408.223.6770
E: evcservicelearning@evc.edu
Monday-Thursday: 9am-1pm

STAFF:

Marjorie Clark, Service-Learning Coordinator
E: Marjorie.Clark@evc.edu​​

EVC Supporting Page
Evergreen Valley College
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