Community Based
Learning
Forms
Student Forms
STOP! Have you selected a service site? Before you can complete the following forms you must have chosen a site and reached out to the site to make sure that they can accommodate you. Review the list of service sites here.
Step 1: Liability Waiver
Please read, complete, and submit the liability waiver before beginning your service.
Step 2: Site Verification Form
This form acts as a contract between you and your service site. Take it with you when you initially meet with your site supervisor and agree on the date you will begin serving.
Step 3: Time Sheet
Fill out the time sheet and have it signed by the site supervisor each time you participate in your service. Turn it into your professor when you have fulfilled your hour requirement.
Step 4: Performance Evaluation
Print this out toward the end of your service, and have your site supervisor fill it out. Give the evaluation to your professor after it is signed. Once your professor has seen this form you may keep it for your portfolio.
Step 5: Student Evaluation
This is an online evaluation for the students to describe and rate their community-based learning experiences at Canisius College. Please fill it out once you have finished your service.

