Online Service Learning Hours Entry

CCPS Online Service Learning Hour Form

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.

Please reference the Maryland Service Learning Essentials Document before completing this form.

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. For the Spanish form, please click here.

Student & Activity Details

School :

Student Name:

Grade Level :

Email Address :

Student's CCPS Username :

Activity Type :

Activity Date(s) :

Name of Organization:

Hours Earned:

Description Of Service:

Supervisor's Name :

Supervisor's Phone #:

Supervisor Email:

Reflection

Now that you have completed your service-learning project, you are ready to write a description of your activity.

1. Identify and Meet an Authentic Community Need: What need in the community did you address?

2. Plan Ahead for Service-Learning: What steps did you take to meet this need?

3. Acquire Knowledge and Skills Needed for Service: What knowledge and skills did you apply to meet this need?

4. Develop Initiative and Responsibility: How did you contribute your strengths to this effort?

5. Collaborate With Community Organizations: Who in the community did you learn from and serve alongside?

6. Achieve Curricular Objectives Through Service-Learning: How did this experience connect to what you are learning in school?

7. Reflect Throughout the Service-Learning Experience: How did your service impact the community, and what did you learn about yourself?

Submit Reset