SERVICE LEARNING CONTRACT

Name of Organization: __________________________________________________________________

Site Supervisor Name: _____________________________________       Phone Number: _____________

Student’s Name: _______________________________________________________________________

I. STUDENT

Below, please describe learning goal(s) for your work at this organization. These should relate to the course goals provided by your instructor and to your personal experience and development.

1.____________________________________________________________________________

_____________________________________________________________________________.

2.____________________________________________________________________________

_____________________________________________________________________________.

3.____________________________________________________________________________

_____________________________________________________________________________.

II. SITE SUPERVISOR

Below, please describe the work that the student will be doing while at your site.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The student agrees to make at least 5 visits to the site before April 27, 2006 and to accumulate a minimum of 25 hours at the site.

The site supervisor agrees to be available when the student is at the site and to have work activities planned in advance for the student.

_______________________________                _________________________________

(student signature)                                                             (site supervisor signature)

_______________________________

(date)