These forms are available to download for on-campus visitors only:

Instructor-Agency Orientation Questionnaire -- Optional -- This questionnaire has been designed to help instructors to orient themselves to agencies or organizations that they are considering using as community partners for service-learning courses. The information obtained should (i) clarify the degree of "fit" between an organization and a particular course; (ii) help determine factors (e.g., number of students, community members' needs) that might constrain projects included in a course syllabus; and (iii) form the basis for an orientation program that could be provided to students planning to serve at the site.

Instructor-Agency Agreement -- Required of Instructors-- This two-part form must be signed whenever an instructor plans to send students enrolled in a service-learning course to a specific agency or organization. The form asks both the instructor and the agency to spell out the expectations they bring to the partnership and any restrictions that they will place upon the students involved in it. The goal of requiring the form is to reduce the risk of serious misunderstandings once the placement is made.

Student Self-Orientation Questionnaire -- May be required by the Instructor -- This questionnaire has been designed to help students to orient themselves to agencies or organizations at which they are considering serving as part of a service-learning course. Its use is particularly appropriate if neither the organization nor the instructor is able to provide a purpose-designed orientation program.

Student-Agency Agreement -- Required of Students -- Each student in a service-learning course must complete a Student Service-Learning Agreement before beginning work at a community partner site. The student, the on-site supervisor (or another representative of the community partner), and the course instructor must sign the Agreement, and each party should retain a copy of it. Because different courses and different community partner arrangements will require that specific issues be addressed in specific ways, the College does not offer a standard form for this purpose. However, it does mandate that a number of topics be explicitly addressed in every Student Service-Learning Agreement.

Liability Waiver -- Required of Students -- Each student in a service-learning course must complete a Student Service-Learning Liability Waiver before beginning work at a community partner site.

Service-Learning Log Sheet -- Required of Students -- All students must systematically log the hours that they spend in service activities. This form provides a basic template for such record-keeping.

The following materials may also be of interest to instructors and students involved in service-learning:

What Service Learning Is and Isn't -- A nice thumbnail sketch that may help those unfamiliar with the concept of service-learning towards a better "feel" for what they are about to embark on. (Shamelessly plagiarized from Kevin Graham.)

Rights and Resposibilities of a Volunteer -- A different way to introduce questions of demeanor for a student going out to a service site, which stresses mutual respect and the importance of communication.


This program is made possible by grant from Hewlett Foundation and co-funded by the Creighton College of Arts and Sciences.

  Home | Our Program | Service Sites | People | Other Resources |