Service-Learning Student Form

___ On Campus

___ Off Campus

 

 
 

 


SECTION 1

Instructor(s): M. Nemetz

 

Course: US History

 

Period(s) Participating: 5, 6

 

Project Name: Booksharing: WW2

 

Date Submitted:

School: Marshall High School

 

Department: Social Studies

 

Grade Level(s): 11

 

Anticipated # of students: 60

 

Goal: Read and Present your book

 

SECTION 2 Name and Address of school where you presented your book:

 

 

 

 

 

 

SECTION 3 Explanation of why you chose this school:

 

 

 

 

 

 

 

SECTION 4 Name of student to whom you read and presented your book:

 

 

 

SECTION 5 Name of Social Studies teacher of this student:

 

 

 

SECTION 6 Time and date of your reading and presentation:

 

 

 

SECTION 7 : Explanation of what took place during your reading/presentation. Was the student interested? Why or why not? What did you do to create interest?

 

 

 

 

 

 

 

 

SECTION 8 Reflection Prompts: What did you learn about teaching from this experience? How did this experience benefit you?

 

 

 

 

 

 

 

 

 

 

SECTION 9 Student benefits: How did this experience benefit the student you read to? (Written by student you read to 5 sentences)

 

 

 

 

 

 

 

 

SECTION 10 Final comments: Have the social studies teacher of the student you read to fill in this section, and explain how he/she felt the student you read to benefited (or not) from this experience.

 

 

 

 

 

 

 

 

 

SECTION 11 Teacher Comment(s) / Recommendations (filled in by Mr. Nemetz):

 

 

 

 

 

 

 

Submitted by: ____________________________________________ Date: _____________

Student Signature

Approved: ________________________________________________ Date: _____________

Social Studies teacher of student you read to

Student participant: ____________________________________________ Date: _____________

Student Signature whom you read to: ______________________________