This is the "Course Information" page of the "SL-Projects & Courses Form" guide.
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SL-Projects & Courses Form  

Last Updated: Aug 15, 2013 URL: Print Guide Email Alerts
Course Information Print Page

Service-Learning Course Information

S-L Courses & Projects

Please complete the form below when reporting service-learning plans, projects, and activities. After service-learning has occurred please fill out the post-assessment (faculty/staff), or student reflection survey (students only).
Name *
Email *
1. Course number and title? *
2. Which school or department? *
3. Number of IUE Students Involved? (please enter number value only) *
4. Number of IU East Faculty or Staff involved? (please enter number value only)
5. Will you require assistance from the Center for Service-Learning with student placements for your service project? *
6. Who is the community partner? Please include name, address, email, and phone. *
7. Community organization requirements (Select all that apply) *
Background Check
Liability Insurance
8. If the Community organization requirement above is listed as other, please specify. If not applicable, please type N/A. *
9. What will they be doing? *
10. Where will this take place? *
11. When will this take place? (date/time) *
12. Which of the following community issues is addressed? (Check all that apply) *
Cultural Diversity Acceptance
Education (Youth)
Education (Adult)
Human Needs
Interfaith Understanding
Public Safety
Other - please specify in comment section
13. What number of community members will be impacted? (please enter number value only) *
14. How will the community members be impacted? *
15. Over what duration will this service-learning take place? *
16. Number of *total* hours spent doing this service-learning project? (please enter number value only) *
17. Do you have arrangements to take photos or videos?
18. If not, would you like us to be there to document it?
19. How is the service-learning assessed or evaluated?
20. Which IU East Learning Outcome apply? (select all that apply)
(1) Communicate clearly and effectively in written and oral forms Effective communication includes the ability to read, write, listen, speak, and use appropriate resources in delivering and responding to a message. A competent communicator is able to compose a clear message, relate purposeful and relevant ideas suitable to the intended audience, and select appropriate written, verbal and nonverbal strategies to effectively communicate or respond to an intended message.
(2) Access, use, and critically evaluate a variety of relevant information sources University educated individuals have the skills to efficiently and effectively locate, retrieve and evaluate information in order to use academically valid source material. Educated individuals have the ability to assess the accuracy, credibility, objectivity and timeliness of information and use that information ethically through appropriate documentation methods.
(3) Apply principles of inquiry to define and analyze complex problems through reasoning and discovery Reasoning, inquiry, discovery, and creativity are the processes by which individuals utilize resources and methods to understand and answer complex problems, and to form and revise beliefs. University educated individuals raise important questions and formulate them in a comprehensible way, developing and defending their conclusions based upon reliable evidence. These individuals demonstrate understanding of the ethical standards of doing their work and communicating the results and findings.
(4) Demonstrate the ability to relate within a multicultural and digitally connected world University educated individuals possess the knowledge and attitudes necessary to effectively relate to and collaborate with individuals from a wide variety of backgrounds, beliefs and experiences. Our graduates have the ability to perform effectively in a virtual setting and accomplish tasks individually or collaboratively in both online and traditional environments.
(5) Demonstrate a deep understanding of a field of study Specialists in a field of study have sufficient knowledge to apply the basic principles of the discipline in their work environment, or for subsequent learning experiences. University educated individuals demonstrate knowledge of the ethical standards in their field of study.
21. Additional comments?

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