Community Based Learning

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.

If you are in multiple Service-Learning courses you must fill out one form per class.

  • Step 1: Liability Waiver
    Please print, read, complete, and submit the liability waiver before beginning your service. You cannot serve without a completed liability waiver.

  • Step 2: Site Verification Form
    This form acts as a contract between you and your service site. Please print and 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 and Performance Evaluation (PLEASE PRINT)
    Bring this with you each time you serve. Record your hours and have your site supervisor sign your time sheet each time you serve. Toward the end of your service ask your site supervisor to fill out your performance evaluation. Turn it into your professor when you have fulfilled your hour requirement.

  • Step 4: Student Evaluation
    This evaluation is for you to describe and rate your community-based learning experiences at Canisius College. Please print, and fill it out once you have finished your service and return to HO 003

Faculty Forms

  • Step 1: Professor Agreement 
    This agreement declares your intent to incorporate Service-Learning into your classes and establishes clear expectations. Fill out one agreement for each Service-Learning course you are teaching.

  • Step 2: Professor CBL Evaluation 
    At the end of the semester please fill out this survey to evaluate the office and submit your opinions about Service-Learning.