Agency: ______________________________________

Mailing Address: ________________________________

City: ______________________  State: _____  Zip: _____

Non-Profit Certification # : __________________________
 

Agency Contact Person: _________________________ Title: _______________________

Telephone: __________________ Fax: ________________________

E-mail: ______________________

Address:  ______________________________________

City: ______________________  State: _____ Zip: ______
 

Number of Students Needed: ____________

                                   (Please Circle)   (Please circle one choice, if no preference circle all 3)
# of Hours/Week: ________   Flexible?  Y  N        Prefer:   Mornings, Afternoons, Evenings
 

Description of Service Learning Opportunities:  (Please be as detailed as possible, attaching descriptions if necessary.  If there are several programs or positions, explain each)

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Special skills or abilities needed for this service learning opportunity: (Computer, heavy lifting, etc.)
_________________________________________________________________

_________________________________________________________________
 
 

Service Learning Site Agreement
University of South Florida St. Petersburg

This understanding must be completed in full before the Service Learning opportunity can be offered to our students.  A Service Learning project for University of South Florida St. Petersburg students is a significant learning and work opportunity.  Students are evaluated and graded on their service, learning, and performance.  Your site supervisor is considered part of our teaching team.  We appreciate your interest in providing this opportunity for our students. The expectations as described below will help ensure a quality learning experience and project.

Community partners can expect:

 •  Students will do a mutually agreable project requiring at least 15 hours of work. In addition students my enroll in a separate Servie Learning course to expand upon this work and will make a time commitment to the project that reflects their credit hour registration, specifically, 1 credit = 20 hrs. per semester, 2 credits = 40 hrs, 3 credits = 60 hrs, 4 credits = 80 hrs.
 •  The student and the site supervisor will develop a description of the specific project           requirements for the approval of the USF course professor.
 •  Students will set appointments, commit to a work schedule, and arrive promptly.
 •  Students will attend any training/orientation the partner provides.
 •  Students will be responsive and cooperative.
 •  Students will offer constructive ideas and suggestions.
 •  Students will be receptive to constructive criticism.
 •  Students will provide the requested service on the described project.
 •  USF course professors and  USF Volunteer Services Coordinator will be responsive in     addressing agency concerns.

Students can expect:

 •  They will work on the described project with the agency.
 •  The project can be completed in the estimated time (approximately 12 weeks).
 •  Partner will provide necessary information, orientation, supplies, and ADA access if     necessary.
 •  Partner site supervisor or specified alternate will be available for direction and     consultation.
 •  Partner will be receptive to student scheduling limitations (class and work).
 •  Partner site supervisor will complete a written evaluation by specified deadlines.

USF can expect:

 •  Partner will support the USF commitment to the principles of Equal Education and     Employment Opportunities without regard to race, color, marital status, sex, religion,     national origin, disability or age,  as provided by federal and state law, and in accordance with the University’s respect for personal dignity.
 •  Partner will contact USF for assistance in accommodating students who have a     disability.
 •  Agency will provide a copy of this agreement to the site supervisors.
  •  Site supervisor will contact the student’s course professor at the first sign of any problem      or concern.
 •  Site supervisor will communicate the details of the student’s project and schedule to all     necessary staff at the agency.
 •  Site supervisor or specified alternate will be available at all necessary times for the     student to complete the project as detailed in the project description.
 •  Site supervisor will complete student evaluation by the specified deadline.
 

Agency Representative       Date
 
 
___________________________   __________

USF Volunteer Services Coordinator                 Date
 

_________________________________   ______________