Forms

The Service-Learning forms listed below are required for all campus and community placement. 

Click on the links below to view and save the forms onto your computer. You will need to use Adobe Acrobat Reader to view these forms. Complete and sign the forms and email to Tiffany.O'brien@evc.edu

Forms may also be obtained from the SL&PS  Center in the Acacia building A4-224 2nd floor when campus reopens.

Check Deadlines with your instructor and SL&PS Center

1. How to Enroll in Service
   Instructions on how to complete forms
2. Student Enrollment
   Basic student information to enroll student into program and assist in placement
3. Waiver of Liability, Assumption of Risk & Indemnity Agreement
   Waiver of claims against San Jose Evergreen Community College District
4. Service Agreement
   Contract between student and community agency specifying volunteer responsibility and schedule
5. Service Log
   Time sheet for students to track hours/days of volunteer service
6. Supervisor's Evaluation
   Evaluation of student volunteer's performance completed by community agency supervisor
7. Student's Evaluation
   Evaluation on student volunteer's feedback on Service-Learning experience
8. Student-Initiated Agency Application
   For placement at an agency not included on the EVC Center for Service-Learning & Public Service list of approved sites. To be completed with the Community Agency Application form.

Note: When printing forms from this website, print duplicate copies for your instructor, community supervisor, and yourself.

The Public Service forms listed below are required for all campus and community placement. 

Click on the links below to view and print the forms in PDF format. Adobe Acrobat Reader is required to view these forms.   Complete and sign the forms and email to Tiffany.O'brien@evc.edu

Forms may also be obtained from the SL&PS  Center in the Acacia Building A4-224 2nd floor when campus reopens.

How to Enroll in Public Service

Instructions on how to complete forms

Waiver of Liability, Assumption of Risk & Indemnity Agreement 
Waiver of claims against San Jose Evergreen Community College District

Student Enrollment 
Basic student information to enroll student into program and assist in placement

Service Agreement
Contract between student and community agency specifying volunteer responsibility and schedule

Service Log
Time sheet for students to track hours/days of volunteer service

Supervisor's Evaluation
Evaluation of student volunteer's performance completed by community agency supervisor

Student Evaluation
Evaluation on student volunteer's feedback on Public Service experience

Community Agency Application
For non-profit agencies wishing to establish a partnership with the Center for Service-Learning & Public Service