2016 President’s Higher Education Community Service Honor Roll

Report Form

Reporting Timeframe: July 1, 2014-June 30, 2015

Deadline for Data Submission: March 2016
Submit forms and information to:
Questions: Contact Michele King at 402.280.3036 or at / Program/Academic Title:
Contact Name:
Contact E-mail:
Contact Phone:

Section 1: Required information

General Community Service: Student Participation in ServiceEstimate:

(a) The number of students who engaged in academic service-learning
(b) The number of students who engaged in forms of community servicenot including the students counted in determining (a) [unduplicated count needed]
(c) The total number of students engaged in community service of any kind(sum of a and b)
(d)The number of students who engaged in at least 20 hours of any kind of community service per academic term
(e)The number of students whose service was supported by one or moreCorporation for National and Community Service Programs.
(f)The total number of all community service hours engaged in by theinstitution’s students.

Note: as we need an unduplicated count of students, we would appreciate a listing of your participating students. Please forward your list of student names in an excel file.

Institutional Supports for Service

  1. Is community service or service-learning explicitly cited in your mission statement or strategic plan?

Yes _____No _____Don’t know/Data not available _____

  1. Does your area/department/school/college make internal budgetary allocations to support service?

Yes _____No _____Don’t know/Data not available _

3. Does your area/department/school/college have at least one full-time staff member responsible

forcoordinating student community service or service-learning activities?

Yes _____No _____Don’t know/Data not available _____

If yes, how many FTE: _____ (partials allowed; e.g., 1.5, .50, as I’ll total for the institution).

  1. Does your area/department/school/college provide scholarships or other financial rewards to students for community service, such as “matching” the Segal AmeriCorps Education Award?

Yes _____No _____Don’t know/Data not available _____

  1. Does your area/department/school/college offer academic courses that integrate community service with academic content, i.e., academic service-learning courses, as defined on cover page?

Yes _____No _____Don’t know/Data not available _____

If yes, approximately how many? _____

  1. Does your area/department/school/college require academic service-learning as part of the core curriculum of at least one major or disciplinary area?

Yes _____No _____Don’t know/Data not available _____

  1. Does your area/department/school/college reward the use of academic service-learning through faculty promotion and tenure decisions, or by providing awards or professional development opportunities?

Yes _____No _____Don’t know/Data not available _____

Government Supports for Service

  1. Does your area/department/school/college utilize AmeriCorps, including VISTA, members in recruiting student volunteers or coordinating student service projects?

Yes _____No _____Don’t know/Data not available _____

  1. Does your area/department/school/college have an ongoing grantee, sub-grantee or other supportive relationship with any of the following CNCS programs?

_____Learn and Serve America

_____AmeriCorps*State and National

_____AmeriCorps*VISTA

_____AmeriCorps*NCCC

_____Senior Corps

  1. Please identify any ongoing relationships you have with other Federal, State, or local government agencies in support of student community service activities:

PROJECT NOMIMNATIONS FOR GENERAL COMMUNITY SERVICE

  1. Do you have a project that you would like Creighton to feature (one of 3) in its 2014-2015 submission?

Yes No

*If yes, please list: Program

Contact person

*Separate email will be sent with the requisite nomination form and guidelines.

Section II: Optional

An additional opportunity is provided to submit projects for recognition in multiple categories. Please review the following categories and list any programs that engage in any of these types of Service.

Education recognizes institutions that have made a commitment to improving educational outcomes for children and youth in pre-kindergarten through undergraduate education. Institutions applying in this category will be those engaged in service that addresses school readiness, strengthens schools, address early warning indicators such as attendance and behavior issues, boost high school graduation rates, and/or help to prepare youth for college success.
Economic Opportunity recognizes institutions with service programs that build economic independence, increase family stability, and create more sustainable and resilient communities. Institutions applying in this category will be engaged in service that improves the financial well-being and security of economically disadvantaged individuals.
Interfaith and Community Service recognizes institutions that are addressing community issues (such as education or health) with a focus on interfaith cooperation. Effective interfaith programs facilitate positive meaningful relationships between people from different religious and non-religious backgrounds and increase appreciative knowledge of other traditions.

Interfaith community Service: please answer all interfaith questionsif you listed a program in this category.)

  1. Is interfaith community service explicitly cited in your institutions mission statement, or strategic plan or other key institutional materials?

Yes NoDon’t know/Date not available

  1. Does your area/ department/school/college make internal budgetary allocations to support interfaith community service?

Yes _____No _____Don’t know/Data not available _____

  1. Does the applicant institution have at least one full-time staff member responsible for coordinating student interfaith community service?

Yes NoDon’t know/Date not available

4. Does your area/department/school/college offer courses that integrate interfaith community service

with academic content?

Yes No Don’t know/Data not available

How many?

  1. Does your area/department/school/college require academic interfaith engagement course as part the core curriculum of at least one major or disciplinary area?

Yes No

Thank you for taking the time to complete this application. Your programs will be featured in the 2015-2016 monthly service-learning newsletters.

We appreciate all the work that you do.