Service Learning MINI-GRANT Required Documentation2013-2014

Please complete documentation forms and return one printed copy to the Waynesville VISTA Office at Williams Elementary. In addition, please email an electronic copy with your name saved in the title to
Questions/Comments Contact: Kym McCall or

Teacher/Sponsor’s Name:
School: / Phone:

As a recipient of Service Learning mini grant funds I agree to provide documentation of activities and expenditures as outlined by grant funding compliance requirements.
______
Teacher/Sponsor SignatureDate


Mini-Grant Project After Action Report

(Required for Grant)

Name of Project______

Length of Project:______Grade Levels Involved:______

Describe the project including outcomes include who, what, where, when

Planning: What was the community need? How was the project planned and implemented? Who was involved in planning the project?

Curriculum Connection: What curriculum connections were made with the project?

Youth Voice: How did you incorporate students in the decision-making process throughout all stages of the service-learning process?

Reflection/Evaluation/Progress Monitoring/Assessment: Describe the reflection activities and evaluation methods; include challenges, solutions and successes. How did you assess student learning and project success?

Celebration: How did students celebrate the success of the service-learning project?


Resources: What resources, if any, did you use for this project (i.e. books, websites, other resources)?

Service Learning Mini-Grant Reporting Form
(Required for Grant)

Month /
Project Overview / Total
PROJECT
Hours Proposed / Number of NEW
Students
Involved / Previously
REPORTED
Students Involved / Total
Students
Involved in project / Hours
Worked per
Student / Total Number SERVICE Hours
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12

Student Hours of Service

Student Name: / Week 1 / Week 2 / Week 3 / Week 4 / Week 5

Itemized Expenditure of Grant Funds

2013-2014

Required for Grant

# / Time / Date / Category List / Project Items / Project Use / Amount/Matching
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.

Student Self-Evaluation Report

Name: ______Project:

Start Date: ______Grade:

Period:Due Date:

Learning:

  1. Did you help plan any of the ideas for the service learning project?
  1. Were you involved in the decision making process throughout the activities?
  1. How did this project help you better understand ideas or subjects you have been studying?
  1. Though this service learning project, what did you learn about yourself?
  1. What did you learn about working with others, including people in your class?
  1. What did you learn about your community?

Service:

  1. How did you implement your ideas for service learning?
  1. How did you evaluate your service learning project?
  1. Did you gain leadership skills?

1