<p> Service-Learning Project Agreement Form</p><p>University of Florida • Center for Leadership and Service • Division of Student Affairs 301 Peabody Hall • P.O. Box 114135 • Gainesville, FL 32611 Phone: (352) 392-1215 • Fax: (352) 392-1213 • Email: [email protected] www.leadershipandservice.ufl.edu</p><p>The purpose of this agreement is for you, in conjunction with your instructor and your community partner supervisor, to outline the goals, activities, and learning objectives for your service-learning experience. Please be as explicit as possible when completing the following agreement (type your answers on a separate sheet of paper if you prefer). For assistance with locating an appropriate service opportunity for your project, please stop by Center for Leadership and Service.</p><p>CONTACT INFORMATION</p><p>Student Name Address E-Mail Phone </p><p>Instructor Name(s) Campus Address E-Mail Phone Course Title Course # Section </p><p>Community Partner Name Address Supervisor Position E-Mail Phone </p><p>SERVICE-LEARNING PROJECT What is the organization’s mission?</p><p>Position Description Describe in detail what your role and responsibilities will be at the community organization. List your duties, projects that you will be involved in, deadlines, etc.</p><p>Using your course syllabus, explain how this experience will connect to the course objectives and/or course topics. Supervision Describe in detail the supervision that you will receive at the organization. Describe the type of training/assistance that you will receive. Who will provide this for you? Who will you speak to if any problems arise at the organization?</p><p>Evaluation What criteria will be used to evaluate your work performance? How will this evaluation be conducted? Who will complete this evaluation?</p><p>Minimum number of service hours that you have agreed to complete Start Date / / End Date / / </p><p>LEARNING OBJECTIVES & ACTIVITIES Learning Objectives Describe in detail what you hope to learn through this experience. How will you evaluate if you have met your learning objectives?</p><p>Learning Activities On-Site: Describe how your service-learning activities will enable you to meet your learning objectives. Please list projects, research, conversations, etc. and relate them to your learning objectives.</p><p>Off-Site: Please list readings, writing, etc. that you will complete that will help you meet your learning objectives.</p><p>Evaluation What criteria will be used to evaluate your academic performance with this project?</p><p>AGREEMENT</p><p>By signing this form, you agree to the conditions stated above.</p><p>Student’s Signature Date Instructor’s Signature Date Supervisor’s Signature Date </p><p>Note: Once you have obtained the necessary signatures, please make 3 copies of this form (1-Student, 2-Instructor, 3-Community Partner). </p>