Hannan Junior/Senior High School
#1 Wildcat Way Ashton, WV 25503-9366
304-743-3212 304-576-2571 304-743-4513 (fax)
Dr. Karen Oldham Adam Watson Jessy Painter
Principal Assistant Principal Counselor
Service Learning Project Forms
(Please Print)
TO BE COMPLETED BY THE STUDENT PRIOR TO THE SLP:
Name: ______
Student Number ______Grade______
Location of Service Learning Project ______
Date(s) & Time(s) ______
Brief description of the Service Learning Project ______
______
TO BE COMPLETED BY THE STUDENT UPON COMPLETION OF THE SLP:
1. How did you help meet a community need through this project? ______
______
2. What part of the Service Learning was the most challenging to you? ______
______
3. Describe something you learned about yourself. ______
4. If you could preserve one photograph in your mind from your Service LearningProject that meant something to you, what would it be? Explain your answer. ______
______
______
TO BE COMPLETED BY THE SLP RECIPIENT/GROUP LEADER:
I confirm that all the information is correct to the best of my knowledge.
The above named student completed ______hours of Service Learning for this project
Authorized Signature ______
Telephone Number ______
Received at HJSHS on ______
By ______
Service Learning Guidelines
Service Learning meets a portion of the requirement for West Virginia students to complete Work-Based Learning during the ninth to twelfth grade years.
Students must complete the appropriate form seeking pre-approval from his/her advisor before performing the service. Service preformed without approval will not be approved.
Students should complete at least ten hours of service each year beginning with the ninth grade year. Forty hours of service are required for graduation.
Students may perform service on the school campus or in the community.
Students may perform either direct service (working with individuals) or indirect service (making posters, preparing materials, etc.).
The Service Learning Record becomes one component of the student’s career portfolio. Service Learning related to the student’s chosen career cluster is highly recommended.
Students must complete the reflection portion of the service activity form. This educational activity provides students with an opportunity to relate Service Learning to the world of work.
Students may not use an activity that involves pay for service or directly benefits the student’s family (chopping wood for grandparent, etc.)
Appeals of Service Learning credit may be made to the school Service Learning Committee consisting of the Principal or designee, counselor and students advisor.
The School Level Service Learning Committee shall remain constant for one year periods.
Revision: November 19, 1999