Service Learning

Student Project Report

Hello Service Learners! The Service Learning Project Report helps to tell your story and the story of students like yourself giving back to the community and applying skills learned in this course. By submitting this form, you will be considered to be an "Official" Service Learning student and will be eligible for receiving a Certificate of Completion and Graduation Medallion. View the Certificate & Medallion Policy.

Note: Be sure to complete all required sections of the form (noted by the red asterisk *). Once submitted, you will receive a message stating, "Thank you for submitting your Service Learning project information." If you do not see this message, please check your form again to ensure you've completed all required sections.

Trouble shooting: If you are having any challenges with submitting the below form, please call (440-366-4076) or visit the Career Services desk located on the first floor of the Bass Library/Community Resource Center.

Student Project Report Form (below):

Student Information

First Name: ^*

Last Name: ^*

LCCC Student ID#: ^*

Email Address:

This will be used to notify you of the Annual Service Learning Celebration

Class Information

Instructor’s Name: ^*

Course Title (ex: Introduction to Ecology): ^*

Course Number (ex: BIOG 165): ^*

Semester (ex: Spring 2011): ^*

Project Type: ^*

If a group/class project, how many total group members were there (including yourself)?

Organization Information

Name of Main Community Organization (eg. Red Cross): ^*

Contact Person Name:

Job Title:

Phone Number:

Email Address:

Project Information

Project Title: ^*

Project Description (In 150 words or less: Brief description of Service Learning project/activities, who the project affected, any outcomes etc.)

Project Description: ^*

Total Hours Of Service: ^*

Community Impact (How many individuals in the community were directly affected by the service provided? Educated estimates are acceptable.)

Community Impact: ^*

Volunteers Recruited (Did you recruit others outside of your classmates or other Service Learning students to assist with project?)

Number of Volunteers: ^*

Personal Impact

In 200 words or less, explain here: The impact the project had upon you, what skills did you use/learn, has it influenced you to be more civically engaged in the future, etc.

Personal Impact: ^*

Photo Upload (Optional)

Photos are optional but encouraged! Pictures are worth 1,000 words!

Attach Photo Here:

Photo Approval:

I give the Service Learning Program permission to use this photo to promote service learning.

I do not give the Service Learning Program permission to use this photo.

Thank You!

Student Project Report Form

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Student Project Report

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