Student Forms
Several of the following forms are required for the Service Learning placement process. Please read the descriptions below. Then download the form needed by clicking on it and complete the necessary paperwork for your Service Learning experience.
Learning Agreement - Required
Learning Agreement- Must be completed before beginning service
- Submitted to the faculty and kept for the semester
- Submitted to the Service Learning Institute at the end of the semester
What is the Learning Agreement?
The Learning Agreement is the official document used to describe a students' responsibility at their service learning site.
The student, course instructor and site supervisor must sign the Learning Agreement. It is kept on file in the SLI for 3 years.
Students can, also, access this form via MySLP after completing the online placement process.
The Learning Agreement PDF form below is editable on your computer so you can fill in most of the segments before printing.
Note: You MUST download it to your computer first before you fill it in otherwise it will not save your information.
Spring 2019 MPUSD Orientation Dates
Week #2: Thursday, January 31st @ 3:00pm
Week #3: Wednesday, February 6th @ 9:00am & Thursday, February 7th @ 1:30pm
Week #4: Tuesday, February 12th @ 9:00am & Friday, February 15th @ 1:30pm
Week #5: Tuesday, February 19th @ 5:30pm
ORIENTATION REQUIREMENTS:
Please be on time! Late students will not be admitted. Required forms are listed and linked below:
a. Student must have a completed MPUSD Form.
MPUSD Form 2016 - 2017b. Student must have their TB test results or TB Risk Assessment Questionnaire completed.
TB Testing ProcessNote: The Campus Health Center (CHC) are facing a high volume of student TB test appointments. In order to accommodate the students in a timely manner, the CHS is asking students to arrive at their appointment with completed intake registration forms.
Students, please complete the following forms prior to their TB appointment:
Having the forms completed will help expedite the process allowing the CHC to provide more TB tests per day.
Campus Health Center - New Patient Intake FormService learning students doing their serving at a school under the MPUSD can now provide a negative TB test result OR a TB Risk Assessment Questionnaire completed by a licensed health care provider. All other school districts do require a negative TB test result. Call the Campus Health Center to make an appointment at (831) 582-3965.
TB Risk Assessment Questionnaire formc. Students MUST know the MPUSD school where they want to do their service. Students will be asked to choose a school site at the orientation.
d. Students MUST bring an official governmental photo ID to the orientation session. CSUMB ID cards are not acceptable.
For more Information please contact Rene Casas at 831-582-4184 or rcasas@csumb.edu