Heath School Service Learning Club Application
Dear 5th-8th graders!

If you are interested in joining an afterschool club focused on service learning and we invite you to apply! The Heath service learning club is for students who desire to give back to the community by working in their community for causes decided upon student participants. Students will have the opportunity to select issues that resonate with them and outline plans of action - all of this led by Dr. Sevelius.

The club will meet this year roughly every other Tuesday from 2:30-3:15 at the school. While Dr. Sevelius will lead the club, we hope to have other parents and staff come and support us, as well. We'll explore the many ways you can contribute to our community and beyond. You will led new efforts in our quest to give back to Brookline. If this sounds like a good fit for you, and your parents agree, please fill out this brief questionnaire. We look for ward to hearing from you!

Space is limited!
What's your name? *
Your answer
Name one hero or role model of yours and write a sentence or two about why you look up to them. *
Your answer
Write a sentence or two about what the term "service learning" means to you. *
Your answer
Write a couple of sentences about one social justice issue that is important to you. *
Your answer
If applicable, describe any volunteer work that you have done or an organization that you have been involved with. *
Your answer
What talents and/or passions do you think you can contribute to the efforts? *
Your answer
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