LUMCON 7-12 Service Learning Final Report

LUMCON 7-12 Service Learning Final Report
School Name*
Parish/County*
State*
Zip Code*
Primary Teacher for Project*

First NameLast Name
Report Preparer, if different from primary teacher

First NameLast Name
Email Address*
example@example.com
School Phone Number*
Please enter a valid phone number.
Impact and Goal Assessment
Were you able to meet your academic objectives? How did the project impact your students beyond academic objectives? (e.g. - Teamwork? Empathy? Critical thinking? Interpersonal skills? Etc.)*
How did the hands-on, service component of the project improve your classroom curriculum? *
Rate the effectiveness of the hands-on component.*
Did you have to overcome any challenges to complete the project? What would you do differently next time?*
Did you and your students feel like you met your project goal? Why or why not?*
Number of students that participated:*
Approximate number of individuals that were impacted: *
Number of times students met with the Partner Organization:*
Approximate number of days spent on the Service Learning Project (in total): *
Approximate number of hours spent on the Service Learning Project (in total): *
Would you recommend this project to other teachers? Why? Why not?*
In the future, would you like to be put in a cohort of other teachers doing the same Ready-to-Go project?*

YesNo
Funding
Amount awarded*
Amount spent*
Download the expense report form here.
File Upload*

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If all award funds were not spent, the remaining funds must be returned to the Joe W. and Dorothy Dorsett Brown Foundation. Checks should be made out to the Brown Foundation. Also, please complete the Changes Form explaining why all funds were not used.
Service Learning IPARD Evaluation
How did you teach your students about service learning (service-learning definition and IPARD process)?*
How did you introduce the community need and its root causes to your students? An option to upload supporting documents is provided below.*
File Upload

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Describe student experiences during step 1, the investigation phase of the IPARD process. *
What tasks and responsibilities did students perform during step 2 (Planning and Preparation) and step 3 (Action) of the IPARD process? *
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)*
On a scale of 1-5 (with 5 representing the most, best or excellent), how much did your students benefit from the reflection exercises? *
Describe how the students demonstrated their service experience to the community. *
Describe how you included youth voice in the project. (How were students involved in the planning process? What types of leadership or decision-making opportunities were available to students?)*
Supporting Documents

All documents requested below are required.
a) Written samples of students' CER (Claim-Evidence-Reasoning) sheets and I Notice/I Wonder worksheets. Please do not send all of your student work, only 1-3 students’ work is necessary.

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b) Samples of all reflection activities included in the project packet and/or project outline. Please do not send all of your student examples, only 1-3 students’ work is necessary. *

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c) Photographs/Videos/Social Media – Provide links to any photos, social media posts or videos, or provide scanned photos with a small descriptive caption.*
Photo File Upload

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Please submit the Principal's Award & Approval Form in the File Upload section below.
Principal's Form*

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Additional Comments?
Signature*

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LUMCON 7-12 Service Learning Final Report

Impact and Goal Assessment

Funding

Service Learning IPARD Evaluation

Supporting Documents