The following forms can be downloaded for use in planning and keeping effective records at your school. Please pay attention to deadlines on some of the forms.

Planning Grid
Schools should complete this planning grid, in collaboration with appropriate department leaders.
Budget Request
Service-Learning Coaches must complete this Budget Request Form in order to receive funding from the Service-Learning Initiative. A Final Report must also be submitted to be eligible for funding. The forms are due to the Service-Learning Manager by October 31.
Project Certification
Teachers should complete this form and submit it to the Service-Learning Coach for approval prior to beginning a service project with students.
Pre-Service Preparation
Students should complete this form before beginning an independent service project.
Post-Service Reflection
Students should complete and submit this form before the Service-Learning Coach approves projects for service-learning credit.
Project Assessment
Download and distribute this project assessment among students who have completed a classroom-integrated service-learning project.
Classroom Project Completion
Teachers should complete this form and submit to the Service-Learning Coach in order to have student projects entered in IMPACT.
Final Report
Service-Learning Coaches must complete this Report Form and return to the Service-Learning Manager. The forms are due to the Service-Learning Manager by June 20.
Final Report Template
Please view this report form template prior to completing the Final Report Form for an example of how the form should be completed.
Agency Information Form
This is a 2-part form that agency staff will fill out in order to be listed in the CPS community partner database. Keep a copy for yourself and fax or mail a copy to the Service-Learning Manager (fax: 773.553-6394) if the agency has the capacity to work with more than one school.
Service Learning Agreement
This form serves as a permission slip. CPS recommends that this form be completed by each student prior to beginning a service project. It ensures that all involved partners - the service organization, the student and his/her parent or guardian - agree on the terms of the service project.
Service Learning Time Sheet
This form is to be used to keep track of the student's time. When the student's service project has ended, this form should be returned to the Service-Learning coach to record student hours accurately.

Page Last Modified on Thursday, June 04, 2015