Teacher Service Learning Proposal
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Teacher Name *
Department *
Course Title *
Grade Level *
Service Learning Project Name *
When will this project take place (approx. date is okay) *
MM
/
DD
/
YYYY
Approx. # of Students that will complete the project *
What will students do in class to prepare for the project? *
What action will students do to provide a service to the community? *
What will students do to reflect upon the service project? *
What are the learning goals of the project? *
How will student voice be incorporated in the project? *
What support do you need (if any) from me? *
Supplies, Transportation, Sub Coverage, Chaperones, etc.
Any other additional comments or questions?
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