Forms
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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 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.