Saint Louis University School of Teacher Education and Liberal Arts Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 1 of 10 EVALUATE Submit the following to your Supervising Instructor for your evaluation after the project implementation: 1. Final Service Learning Plan 2. Final Documentations properly labelled (before, during and after) with attached video of the project implementation 3. Evaluation from your two witnesses for your project using the Rubrics for Performance and Project rating (1 family member and 1 neighbor with valid ID’s attached) Be guided with the following rubrics: Categories Organization Grammar and Mechanics Exemplary=A (Far Exceeds Standard) 15 Writing shows high degree of attention to logic and reasoning of points. Unity clearly leads the reader to the conclusion and stirs thought regarding the topic. Report is free of distracting spelling, punctuation, and grammatical errors; absent of fragments, comma splices, and run-ons. Rubrics for SLP ( 90 points ) Above Adequate=C Average=B (Meets (Exceeds Standard) Standard) 13 10 Writing is Writing is coherent and coherent and logically logically organized with organized. transitions used Some points between ideas remain and misplaced and paragraphs to stray from the create topic. Transitions coherence. evident but not Overall unity of throughout the ideas is project report. present. Report has few Most spelling, spelling, punctuation, punctuation, and grammar and correct but grammatical some errors errors allowing remain. reader to follow ideas clearly. Very few fragments or run-ons. Inadequate=D (Below Standard) 7 Writing lacks logical organization. It shows some coherence but ideas lack unity. Serious errors. Spelling, punctuation, and grammatical errors create distraction, making reading difficult; fragments, comma splices, runons evident. Errors are frequent. Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any 1 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts Format Completeness SWOT analysis Appendices Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 2 of 10 Meets all formal and assignment requirements and evidences attention to detail; all margins, spacing and indentations are correct; neat and correctly assembled with professional look. All necessary parts of the SLP is present Meets format and assignment requirements; margins, spacing, and indentations are correct; neat and correctly assembled. Meets format and assignment requirements; generally correct margins, spacing, and indentations; neat but may have some assembly errors. Fails to follow format and assignment requirements; incorrect margins, spacing and indentation; neatness needs attention. One part of SLP is missing Two parts of the SLP are missing Three or more parts of SLP are missing Very complete SWOT analysis Very organized content of the appendices Complete SWOT analysis Organized content of the appendices Incomplete SWOT analysis Incomplete content of the appendices No SWOT analysis No appendices Total Documentation (100 points ) Categories Exemplary=A (Far Exceeds Standard) 100 Above Average=B (Exceeds Standard) 90 Adequate=C (Meets Standard) 70 Inadequate=D (Below Standard) 50 Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any2 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts Documentati on Presence of proper documentation (showed per week documentation as part of the appendix) Presence of proper documentatio n (showed per week documentatio n as part of the appendix but one week missing in the documentatio n) Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 3 of 10 Presence of proper documentation (showed per week documentation as part of the appendix but two weeks missing in the documentation) Incomplete documentation showed Total Rubrics for Performance and Project Rating ITEM Achievement of objective of the program or project such as: 1. Enhance and broaden the knowledge of the people about maintaining the project (example: maintain cleanliness on their place) 2. Work with the people in making the project Methodology used: 1. Included community people (family members) in activities like planning and implementation. 2. Utilized community needs assessment and verified appropriate methodology for use in activity. 3. Validated needs assessment and verified appropriated methodology for use in activity. 4. Used varied techniques for the attainment of the project objectives. ITEM 1. Changes in the physical structures or infrastructures and improvements are visible. 2. Impact on social structures. 3. Participation of community people and local agencies. (like family members) 4. Program is appropriate to learning objectives of the students. 5. Encouraged critical thinking to the project/ activity. 6. Sustainability of the program ITEM 1. Materials used for demonstrations and other works were adequate. 2. Participation of community people and local agencies was solicited 3. Program can be maintained with minimal use of other resources ITEM 1. Made use of local resources and personnel during project implementation. 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any3 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 4 of 10 2. Activities are cost-effective and well budgeted. 3. Alliance and partners were able to help in project implementation ITEM 1. Communication and information are well served to the participants and partners in the projects/ activities 2. Documentations are recorded and kept. 3. Monitoring and evaluation are continuously conducted. Total: 5 4 3 2 1 Evaluated by: ___________________________________________ Name and Signature of The evaluator (Attach on this page a photocopy of valid ID, if possible) Relationship to the implementer/student: _________________________ Date accomplished: __________________________ Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any4 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 5 of 10 Example of SLP SERVICE-LEARNING PROGRAM BLOOD DONATION SERVICES I. SLU’S VMO STATEMENT Saint Louis University is an excellent missionary and transformative educational institution that is zealous in developing human resources to be creative, competent, socially involved, and imbued with the Christian spirit. II. CORE VALUES • COMPETENCE – To provide a broad and professional education necessary for principles and methods of modern scientific Nursing. • CREATIVITY – To develop the students' faculty's and staff's innovative potential so that they can adapt to real-life situations; To hone the faculty and students' creativity in dealing with current trends, issues, and problems in Nursing practice through the development of research skills. • SOCIAL INVOLVEMENT – To harness the expertise and resources of the School through the Community Organizing Participatory Action Research (COPAR) and the mobile nursing clinic to help alleviate the state of the health care system is depressed or neglected communities and barangays. • CHRISTIAN SPIRIT – To develop the personal qualities that would enable the students, faculty, and staff to live a wholesome, satisfying life as a Christian and instill the values of humanitarian dedication. III. School: School of Nursing IV. Program: Bachelor of Science in Nursing V. Partner Community: PHILIPPINE RED CROSS - MOUNTAIN PROVINCE CHAPTER, PHILIPPINE RED CROSS - BENGUET CHAPTER, BAGUIO CHAPTER & SAINT LOUIS UNIVERSITY VI. Profile of Partner Community: The Philippine Red Cross is a humanitarian organization that is committed to various social welfare services promoting volunteerism. The Philippine Red Cross is set to reduce the impact of disasters, climate change, public health emergencies, illnesses, and other situations of violence for affected families and communities. The Volunteer Service Office handles programs aimed at encouraging people to become an army of volunteers of the Philippine Red Cross by sharing their resources, time, and efforts to alleviate human suffering. The delivery of essential services of the Philippine Red Cross is powered by the committed service of volunteers who unselfishly devotes time, energy, and resources to serving humanity. There are various Red Cross branches all over the Philippines, and their overall goal is to promote health and prevent illnesses among the Filipino people. Saint Louis University serves as a common middle ground for many health and social projects sponsored by outside organizations. It is always in connection with the Philippines Red Cross during the organization’s promotion of blood donation. Saint Louis University has connections with various organizations to promote the health and social welfare of its students and those in the surrounding community. Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any5 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts VII. Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 6 of 10 Matrix of Service Learning Program Activities PROGRAM OUTCOME Demonstrate technical competence (safe, appropriate, and accurate testing) in the performance of laboratory tests to aid in the diagnosis treatment and management of disease Manifest dedication and commitment as well as management skills in the laboratory operation to deliver quality laboratory services. Work effectively and independently in multi-disciplinary and multi-cultural teams NEXUS Louisian Cares ACTIVITIES COMPETENCIES Preliminaries: Create a plan on the proposed project on blood donation Information dissemination to partner communities Proper coordination and collaboration Communicatio n skills Technical Competence Maintain proper communicatio n skills Establish independence in performing the designated task Maintain good working ethics During the implementation: Assistance to general blood donation procedures Assisting in physical assessment; observance of safety precautions throughout the procedure. Final Procedure: Evaluation of the project PERSONS IN CHARGE AND THEIR RESPONSIBILITIES Genesis Serquina, Leader - Takes charge of supervising and monitoring the activities to ensure optimum outcomes and safety of all concerned throughout the project term. Leader Group leaders (Responsible for processsing necessary docume nts for the project proposal, revising the project plans, and assigning Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any6 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 7 of 10 tasks for the project) NSTP 2 Students (responsible for facilitating the project according to approved plans, procedures, and guidelines.) Appendices A. Plant Design and Program of Activities (Activity – Competencies – Date and Venue – Assessment) Date and Venue Plant Design / Program of Activities Activity Competencies Assessment August 18-August 30, 2019 SC05, NSTP Office Project planning and possible troubleshooting of problems encounter to the project Proper planning and organizing and collaborative working Approved SLP August 30-September 15, 2019 S306, NSTP Office Constructing the service-learning program (SLP), crafting communication letters Writing skills, Structuring of ideas clearly Approved SLP Rubrics October 2019 SLU Main & Maryheights Campus Scouting for donors/information dissemination Endorsement and Waiver Forms Interview October 21-26, 2019 SLU Main Campus (3rd and 4th floor Perfecto Building); SLU Bakakeng Campus (Devesse Lobby) Implementation of the project Communication skills, proper coordination with the partner group, monitoring of the progress of scouting process. Assisting in registration, interviews, physical assessment, and counter check needed materials, provide health teaching. Observation Form (PRC) Evaluation Tool Learners’ logbook Checklist Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any7 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts October 27, 2019 SC05 Evaluation of the project Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 8 of 10 Analyzing the activities are done and information to make considered decisions Evaluation tool B. Consent from Partner Community (if applicable) SAINT LOUIS UNIVERSITY COMMUNITY EXTENSION AND OUTREACH PROGRAMS OFFICE NATIONAL SERVICE TRAINING PROGRAM SERVICE-LEARNING PROGRAM Consent from Partner Community ____________________ Date To the University President: May I inform your office of our willingness to enter into a partnership with (name of group) ________________________, a Service Learning Program of the National Service Training Program of Saint Louis University from _________________ to __________. _____________________________________ Signature above Printed Name _____________________________ Designation _____________________________________ Community/Barangay/Organization Contact Information: Address: _____________________________________________________________________________________________ CP/Landline: _____________________________________________________________________________________________ Email Address: _____________________________________________________________________________________________ Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any8 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 9 of 10 C. Budget Proposal SAINT LOUIS UNIVERSITY COMMUNITY EXTENSION AND OUTREACH PROGRAMS OFFICE NATIONAL SERVICE TRAINING PROGRAM SERVICE-LEARNING PROGRAM BUDGET PROPOSAL NEXUS Louisian Cares ACTIVITIES Assisting in Blood Extraction Assisting in Assessment Information Dissemination MATERIALS NEEDED Tourniquet Mask Gloves Medicine kit Weighing Scale, Pulse Oximeter, and battery Thermogun or Thermometer Stethoscope 2 BP Apparatus Poster BUDGET 40 40 60 50 50 SOURCE OF BUDGET c/o students c/o NSTP Given Medical Clinic and c/o partner communit y 2,400 c/o NSTP c/o students Approved by: SHEILA D. DOTIMAS Project Facilitator/Supervising Instructor CHARMAINE P. MENDOZA Director, CEOPO FELINA P. ESPIQUE, PhD Dean, STELA REV. FR. MACWAYNE N. MANIWANG, CICM Vice President, Mission, and Identity Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any9 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited. Saint Louis University School of Teacher Education and Liberal Arts Document Code FM-STL-013 Revision No. 01 Effectivity June 07, 2021 Page 10 of 10 IX. Impact Assessment Plan There are several benefits concerning blood donation, not only to the recipient but also to the donor. The impact of this knowledge may lead to more positive effects on one's physical and emotional health. Research studies have shown evidence that donating blood can reduce stress, improve emotional well-being, and overall physical health. With this information disseminated properly, a student's life is activated to reduce the possible health risks associated with a lack of health care for one's self. Another important impact of this activity is the possible promotion of community health through the knowledge of the students who will participate. This helps to promote a healthy lifestyle for the said communities. Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any 10 means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.