SERVICE LEARNING SITE CONFIRMATION
Student Name: __________________________________________________________
Name of Site Placement: _________________________________________________
Supervisor: ____________________________________________________________
Duties: ________________________________________________________________
_______________________________________________________________________
MUTUAL EXPECTATIONS AGREEMENT
ORGANIZATION/PLACEMENT SITE – We commit to the following:
- To provide adequate information, training, and assistance for the service learner to enable him/her to meet the responsibilities of their service position and facilitate student growth
- To ensure adequate supervision to the service learner and to provide feedback on performance
- To respect the skill, dignity and individual needs of the service learner and to do our best to adjust to these individual requirements
- To provide meaningful tasks related to skill, interests, and available time
- To provide appreciation and recognition of the service learner’s contributions
SERVICE LEARNER: I commit to the following:
- To perform my respective duties to the best of my ability
- To adhere to organizational rules and procedures, including record-keeping requirements and confidentiality of organization and client information
- To be open to supervision and feedback which will facilitate service learning growth
- To meet time and duty commitments, or if I cannot attend, to provide adequate notice so that alternative arrangements can be made
AGREED TO:
Service Learner: _________________________________________________________________*
Signature and date
Organization/placement site: ______________________________________________________**
Signature and date
*STUDENT: Please sign and complete form with site supervisor
**SITE: Please sign and return to:
Debra Bohr
Service Learning Administrator
Northampton Community College
3835 Green Pond Rd.
Bethlehem, PA 18020
