SERVICE LEARNING PROJECT PLAN
DUE DATE
Name ______________________________
1. Are you conducting service to the class, college or community? __________________
2. What component of leadership or citizenship is being addressed through your project?
3. Describe your idea for service below and discuss specifically how it will further your
understanding of community needs.
4. Please provide the contact person, name, address and phone number of the institution
where you will be doing your service.
Contact Person _____________________________________
Name of Institution _________________________________
Address __________________________________________
__________________________________________
Phone # __________________________________________
5. What is civic responsibility as it relates to your service project?
6. What are the personal values that you have that helped you make the choice of your
service site?
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7. What skills will you contribute to the community agency?
8. How does this civic institution contribute to our city, region, and/or state?
9. What public policy issues affect your agency?
10. Indentify the rights and responsibilities of the clients of the agency where you
volunteered.
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