SERVICE LEARNING AGREEMENT Last Name First Name ID# E-mail Address______________________ Service Start Date ______________End Date ___________ Please note: the dates listed about are the actual dates for the course. Details for actual service learning hours will be arranged by both parties and implemented within the contract once agreed upon. Agency Name ___________________ Course Number Site Contact__________________ Phone #_____________________ Professor Phone #_______________________ Brief Description of Service: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ ____________________________________________________________________________________ What is Service-Learning? “Service-learning is a philosophy of experiential learning [integrated into and enhancing academic curriculum] in which students participate in community service not only to meet the needs of the community, but also to develop their critical thinking skills, commitment to values, and skills for effective leadership.” Mintz & Liu, 1994 The Service-Learning Agreement is designed to: ♦ Assist the student and agency in understanding the learning objectives for the course. ♦ Clarify the activities in which the student will be involved at the agency in relation to the learning objectives. ♦ Ensure that both the student and the agency are aware of the responsibilities as partners in this service-learning project. Part I: Learning Objectives: (To be filled out by the student) Course Objectives: Please list the learning goals provided by the instructor for this course that will be met with this project. Student’s Personal Learning Objectives: Please describe three learning goals for your work at this agency. These should relate to the course goals provided by your instructor and to your own personal experience and development. Part II: Agency Activities: (To be filled out by community agency supervisor) Please describe the work that will be completed during this service-learning project and how it contributes to the agency. Part III: Integration Plan: How will you (student) connect your activities in the agency to your course content and vice versa? Part IV: Responsibilities: As a service learner I agree to: Attend an orientation at my site and serve the agreed upon time for the duration of the semester Call my site if I am unable to make my normal scheduled time Act in a professional manner when attending my site Fill out and return paperwork within designated timeframe o Notify my site contact if I am having problems with my site, or notify my professor if problems cannot be resolved by talking to the site contact Keep track of my hours throughout the semester on the approved service learning timesheet Student Signature Date As a community partner with the Service Learning Project at UCO I agree to: Provide a thorough orientation and discuss learning objectives with service learners Place students in volunteer situations which will be complementary to their class work Be available to the service learners to let them know of things such as agency calendar and special events Provide feedback on the service learner’s performance Site Contact Signature Date As a professor using service learning I agree to: Review contract to insure course objectives and service activities are appropriately matched Provide guidance to help students relate their volunteer experience to their class work Check in with students to make sure service experiences are going well Communicate with the community partner during the semester Help students reflect on their service and societal issues they encounter Professor Signature Date Make three copies of this form when complete: 1. Student 2. Agency/organization supervisor 3. Professor Created April 2014 by Dr. Lori Risley Assistant Professor, Service Learning Scholar, Adult Education & Safety Science Dept. University of Central Oklahoma 100 N. University Dr., Box 120, Edmond, OK 73034 [email protected] 405-974-5533 We are all diamonds in the rough until polished, how can I help you shine?