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The Agapé Center for Service and Learning

Service-Learning Course Proposal Form


Below you will find a short service-learning course proposal from that will take approximately 5 - 10 minutes to complete.

Please make sure that you complete each of the following three steps so that the Service-Learning Committee can approve your proposal.
1. Complete the following Service-Learning Course Proposal Form
2. Email a MS Word copy of your proposed syllabus to the Director of the Agape Center for Service and Learning
3. Review the Memo of Understanding which your Community Partner(s) will sign upon approval


Course name:
School or area in which course is offered:
Sponsoring faculty member:
Faculty ID number:
Community partner(s):
If your students will be working through the Agape Center Outreach Teams rather than a particular community partner, please check here:
Proposed as a course offering for:
(Proposals are vetted on an ongoing basis. If approved the Agape Center will forward your course to the Registrar.)
1. The three components for all service-Learning courses are listed in the Service-Learning Course Parameters. Please respond to the following questions..

I. Content:
A. How does the course introduce students to research problems, theories, and skills that address specific community goals and objectives? (250 max. character response, about 2-3 sentences)

B. How does the course orient students to understand the context in which they are working? (250 max. character response, about 2-3 sentences)

C. How does the course utilize readings, discussions, and experiences that connect learning to the course objectives? (250 max. character response, about 2-3 sentences)


II. Service:
A. How does the course enable students to personally connect with people involved in the issue to which the service is directed? (250 max. character response, about 2-3 sentences)

B. How does the course provide opportunities for students to apply their values, commitments and disciplinary knowledge in authentic, real-life settings?How does the course provide opportunities for students to express value commitments and disciplinary knowledge in an authentic, real-life setting? (250 max. character response, about 2-3 sentences)

C. Is the service connected to organizations who have long-term commitments to the communities and issues they address?
Yes No
D. What type of service does your course employ primarily?
Direct (face-to-face, i.e. soup kitchen)
Indirect (working towards a project that betters a community, i.e. building a walter filtration system for a Sierre Leone community)
Advocacy (collective conscience raising amoung a community, i.e. raising awareness of modern-day slavery through public lectures)


III. Reflection:
A. How does the course utilize written, oral, and/or artistic reflection activities that help students link their experience of service with their values and their course objectives? (250 max. character response, about 2-3 sentences)

B. How will the course encourage students to use their service experience to mature in their Christian faith? (250 max. character response, about 2-3 sentences)

C. Does the course critically analyze theories, structures and assumptions in the context of their service experience?
Yes No
2. Does your course description explicitly mention service-learning?
Yes No
3. Do you anticipate any additional expenses for this course?
Yes No

If you answered "yes" to the above, formulate a preliminary budget that will demonstrate that the cost to students will cover expenditures.
4. Provide a short personal narrative which can serve the Committee in assuring that the sponsoring faculty member satisfies the criteria on faculty expertise included in the fifth structural parameter of the Service-Learning Course Parameters.
5. Is this service-learning experience required or optional?
Required
Optional

6. The Service-Learning Committee recommends 20 hours of service per semester. Approximately how many hours of service will students be engaged in?
7. Please attach and send a MS Word copy of your syllabi to the Director of the Agape Center for Service and Learning to demonstrate that the course is consistent with the structural parameters stipulated for service-learning courses (Service-Learning Course Parameters). Preview Sample syllabi.
By checking these boxes, I verify that I have completed each of the following:
Completed this Service-Learning Course Proposal Form in full.
Emailed a MS Word copy of syllabus to the Director of the Agape Center for Service and Learning.
I have reviewed and affirm the Memo of Understanding (local or national and international) to be mutually agreed upon by my community partner(s).


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