Student's name __________________________________ Tel. #_____________
Class _____________________________________ #Credit Hrs.______________
FacultySupervisor _________________________________________________________
Site Supervisor ___________________________________________________________
Community Site ________________________________ Tel. #______________
Dates of placement: From _______________ To_____________________
Learning Objective:
a) -what knowledge/understanding do you wish to gain?
-what skills do you wish to develop?
-what attitudes/values do you wish to clarify or formulate?
Significance:
b) -why do you wish to learn this?
-how is this related to your personal and/or career goals?
-how does this fit in with classroom instruction in this discipline?
-how is it relevant to the discipline in which you are receiving credit?
Implementation:
c) -how will you learn this?
-describe the specific activities by which you will accomplish each learning objective.
-does your site supervisor agree that this placement can provide you with these experiences?
-do you have sufficient time in which to accomplish these objectives?
List three specific learning objectives of this service learning project
- Significance:
- Implemenation:
- Significance:
- Implementation:
- Significance:
- Implementation:
*Reproduced from Student Guide CPPS
Return to service learning Web page
Direct feedback to: Randy Kimmens
URL: http://www.gc.maricopa.edu/servicelearning/lplan.htm
Last update: Thursday November 02 2000