Community Service-Learning (CSL) Promising Practices Proposal Template Form Please email this form (see contact information at bottom of page) to propose a posting for the Department’s web site page: http://www.doe.mass.edu/csl/practices.asp. Thank you! Project Title: School & District: Contact Information: Name (First & Last): Email: Phone: ( ) - Content-Area(s) – [Check at least one.]: Arts History & Social Sciences Comprehensive Health Mathematics Grade(s) – [Check at least one.] Pre-K 6 K 7 English Language Arts Science & Technology 1 8 Community Need Area (Check at least one.): 2 9 3 10 4 11 Community Development Environment Health/Nutrition Housing (homelessness) Human Needs Various Veteran's Affairs Other, please describe: Foreign Language 5 12 Education Public Safety (school) Brief Description of CSL Project: Please provide a summary of the CSL project using no more than 200 words. What did the students do, who did they help, what did they learn? The Community Need the Project is Meeting: What community need were students addressing? How did students identify and prioritize the need to be addressed? What did students do to investigate the need and identify possible solutions (or projects to implement)? Service Component: Describe the service that students provided. How was the service component identified and decided upon by the students? Approximately how many hours did they serve, how many people were helped, and what was the community impact? (Page 1 of 2) Please submit to Kristen McKinnon at kmckinnon@doe.mass.edu. Please note that the Department may edit your project as needed before posting. Connections with Massachusetts Curriculum Frameworks: Describe how this project was connected to the curriculum frameworks. Include examples of classroom activities and how they were connected to the project. List relevant standards. Describe any assessments used to measure students’ learning. How Youth Voice Helps Shape Project: Describe opportunities your students had to make decisions (or contribute to them) and take ownership of the CSL project. Student Reflection Component: Describe any activities that the students engaged in to reflect on their service, and to make connections between their service and what they learned. Include examples of students’ responses to the project if possible. Community Partners Involved: Describe the work you did with your community partner(s) on this project. Was/were the partner(s) part of the planning? Did the partner(s) work with your students throughout the project? Demonstration/Celebration: Describe any activities students engaged in to demonstrate the results of their work or celebrate their successes relative to this project. Did your project receive any press coverage? If so, please provide via email if possible – see bottom of page - or mail (along with a copy of this form that must be emailed) to Kristen McKinnon, MA Department of Elementary and Secondary Education, 75 Pleasant St. Malden MA 02148. Evaluation of Project’s Impact: Describe any steps taken to evaluate the impact of the project. Did the students explore whether the service helped to meet the identified need? How were the students involved in this process? Challenges/Solutions Identified by District: Identify any challenges and their solutions related to the process of implementing your CSL curricula. (Page 2 of 2) Please submit to Kristen McKinnon at kmckinnon@doe.mass.edu. Please note that the Department may edit your project as needed before posting.