2023-2024 Expenditure, Reflection, and Evaluation Report

2023-2024 Expenditure, Reflection, and Evaluation Report
Please submit this report no later than May 10, 2024.
Service Learning Project Title*
School Information
Name of School*
Parish/County*
State*
School Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Teacher(s) Implementing Plan*
One per Line
Expenditure Report Preparer(s)
Primary Preparer's Name*

First NameLast Name
Primary Preparer's Email Address*
example@example.com
Additional Preparers' Names & Email Addresses
Primary Preparer's Summer Email Address*
example@example.com
Primary Preparer's Summer Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Service Partners
Partner Organization(s)*
One per Line
Partner Contact Name(s)*
One per Line
Primary Partner Contact's Email Address*
example@example.com
Primary Partner Contact's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Impact and Goal Assessment
What was your project goal? How effective was your service action? How did you measure your success/progress? *
Were you able to meet the academic objectives of your project? *
Did the hands-on, service component of the project improve your classroom curriculum? Please provide details. *
How did the project impact your students beyond academics? (e.g. - Teamwork? Empathy? Critical thinking? Interpersonal skills? Etc.)*
Describe the self-assessment that you and your students performed at the end of the project. At the end of the project, what feedback did you receive from your service partner?*
Number of students that participated*
Approximate number of individuals that were impacted*
Number of times students met with the Partner Organization: *
Number of times the teacher met with OR discussed/emailed Service Partner: *
Amount of money/food/supplies raised/grown/donated:*
If applicable, amount of money fundraised or donated by students/school: *
Funding
Amount Received*
Amount Spent*
Download the expense report form here.
Upload Expense Report*

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If funds remain, please submit a check payable to the Brown Foundation and complete a Changes Request Form explaining why funds were not spent.
If you are returning money, did you complete a changes form? *
Have you mailed or hand delivered a check for the unspent funds?*
Service Learning IPARD Evaluation
How did you teach your students about service learning (Service-learning definition and IPARD process)?*
How did you introduce the following to your students: the community need addressed in the project, its root causes, and the project’s service partner organization? *
Describe the lessons or activities used for the investigation phase of the IPARD process. *
What tasks and responsibilities did students perform during steps 2 and 3 of the IPARD process, the planning and preparing and action stages? *
What reflection techniques/exercises did you use? How did your service action benefit from the reflective practice? (sample evaluations, reflections, or surveys are requested below)*
Describe how the students demonstrated their service experience to the community. *
Describe how you included youth voice in the project. (What types of leadership or decision-making opportunities were available to students?)*
Future Plans
What challenges did you have, if any? *
If you plan to reapply for this project, what improvements will you make?*
Samples and Attachments
Required: A sampling of student reflections for the following IPARD stages: pre-service, service, and post-service. Please do not send all of your student examples, only 1-3 students’ work is necessary.Written samples of rubrics, student assessments, newspaper/web articles, and completed evaluation forms. Please do not send all of your student examples, only 1-3 students’ work is necessary.Photographs/Videos/Social Media (optional) – Attach links to any photos, social media posts or videos, or provide scanned photos with a small descriptive caption. Please do not send physical photos.
File Upload*

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Additional Comments?
Verifications and Approval Statement

I have reviewed the service learning expenditure report. To the best of my knowledge, the service learning plan was completed as described on this report. The budget is correct and either all money was used OR any unspent funds were returned to the Joe W. and Dorothy Dorsett Brown Foundation.
Download the Principal's Award & Approval Form here.
Upload Principal's Approval Form*

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2023-2024 Expenditure, Reflection, and Evaluation Report

School Information

Expenditure Report Preparer(s)

Service Partners

Impact and Goal Assessment

Funding

Service Learning IPARD Evaluation

Future Plans

Samples and Attachments

Verifications and Approval Statement