This form must be completed within one year from the time the service is complete. Exceptions may be considered for approval by contacting the Coordinator of Service Learning at CCPSServiceLearning@carrollk12.org. Once this form is submitted, it will be emailed to the Service Learning Coordinator for your building. All Service-Learning activities must be reviewed and approved by the school Principal or Service Learning Coordinator before becoming part of your total Service Learning Hours.
Students shall: not be paid for their service; not earn hours for service to a for-profit business; not earn hours for service in preparation for or during religious services or religious education; not earn hours for assisting family members with tasks such as cutting the lawn or babysitting; not be excused from school to earn service-learning hours. Not sure if your hours qualify? Click here to get the email address
of the Service Learning Coordinator for your school.
If you are unable to complete this online form, print a PDF version
to complete and turn into the school.