College of Southern Nevada Education Department

Service Learning Component (10 Hours)

EDU 201, EDU 202, EDU 203

Imagine the difference in the Las Vegas community, when you become a part of it!
Teachers make our community better...
outside the classroom too!
Whether seeking employment with a local education agency,
applying for an education scholarship, or writing a proposal for
grant funding, it is important that an applicant show a genuine
commitment to their community.
The Service Learning component of your CSN introductory
class gives you the opportunity to build upon your existing
community service commitment, or set the foundation for
many future years of community involvement and service to
others. As a matter of fact, statistics show that most
teachers began thinking about education as a career after
volunteering in some capacity with local schools, religious
groups, or community organizations.
Your 10 hour Service Learning will be an additional
component that stands alongside your 10 hour CSN Field
Observation requirements for EDU 201, 202, or 203.

How it works... On the next page, you will read about

approved ways to satisfy the Service Learning component of
your introductory class. These suggestions can be used alone,
or in combination, to arrive at the minimum 10 hour Service
Learning requirement. All students must complete the
required 10 hour Service Learning component, AND the
required 10 hour Field Observation component in order for
your instructor to record a final grade for you in the class.
Use the Service Learning Preapproval form (page 4) to plan
for and get approval for your project. Use the Service
Learning Log (page 3) to document your hours of service,
along with any supporting material required within each
suggestion on (page 2). Your instructor will provide you with
more information about how they will want these documents
submitted, and their specific due dates during the semester.

Service Learning Component (10 Hours)

EDU 201, EDU 202, EDU 203
Approved Service Choices
Community Service:
Component in which the student
works in a volunteer capacity at any
organization that will allow
volunteers, that serves the
betterment of school age children in
the community, and one in which
the student can obtain a verified
letter of participation or certificate
from the organizations leadership
documenting their participation and
hours of credit.

off-campus event. Credit hours and

verification for this experience will be
determined by your instructor.

Additional participation at
school assigned by CCSD during
Field Observation:
If the CSN student and assigned
CCSD cooperating teacher agree, a
student can simply choose to remain
at their assigned school and
classroom beyond the mandatory 10
hours of Field Observation, and
continue accumulating up to 10
additional hours at the site. The
student and cooperating teacher are
encouraged to increase the level of
active participation by the CSN
student beyond a simple passive
observation.

Private School Service:

The student must obtain written
permission from the schools
administration prior to visitation, and
must have an officer of the school
provide signed verification upon
school letterhead of the type of, and
duration of the service.

Organized Field Trip:

Your CSN instructor may be able to
organize an education based field trip
in which all members of the class
meet at another location, instead of
attending class at the regular
scheduled time. Students must fill out
CSNs Field Trip Waiver and provide it
to the instructor before traveling to an

Other Service
The student can design and
present a different service oriented
educational experience to their
instructor. The proposal must be in
writing and agreed upon by the
CSN student and CSN instructor

Service Learning Log (10 Hours)

EDU 201, EDU 202, EDU 203

Participation Log: Complete Service Learning Choices to equal 10 hours or more.
Be sure to attach specific additional documents required for each type of service listed below.

Community Service:
Component in which the student works in a volunteer
capacity at any organization that will allow volunteers, that
serves the betterment of school age children in the
community, and one in which the student can obtain a
verified letter of participation or certificate from the
organizations leadership documenting participation and
hours of credit.

Private School Service:

The student must obtain written permission from the
schools administration prior to visitation, and must have an

Sydne Faith Yanez

Your Full Name (print): ___________________________________
Agency/Type of Service:

I___________________________________
Love You To Pieces Dance

Date(s)
Date(s)
Date(s)

February
13, 2015
___________________________________
___________________________________
___________________________________

Total Hours:

10
___________________________________

officer of the school provide signed verification upon school

letterhead of the type of, and duration of the service .

Organized Field Trip:

Your CSN instructor may be able to organize an education
based field trip in which all members of the class meet at
another location, instead of attending class at the regular
scheduled at time. Students must fill out CSNs Field Trip
Waiver and provide it to the instructor before traveling to an offcampus event. Credit hours and verification for this experience
will be determined by your instructor.

Additional participation at school assigned by

CCSD during Field Observation:

If the CSN student and assigned CCSD cooperating teacher
agree, a student can simply choose to remain at the assigned
school and classroom beyond the mandatory 10 hours of Field
Observation, and continue accumulating up to 10 additional
hours at the site. The student and cooperating teacher are
encouraged to increase the level of active participation by the
CSN student beyond a simple passive observation.

Other Service
The student can design and present a different service
oriented educational experience to their instructor. The

Supervisor Name (print):

Supervisor Signature:
Supervisor Phone:
Supervisor e-mail:

Sara Hair Limbaugh

___________________________________
___________________________________
(702)-285-1001
___________________________________
mollylimbaugh@yahoo.com
___________________________________

Agency/Type of Service:

___________________________________

Date(s)
Date(s)
Date(s)

___________________________________
___________________________________
___________________________________

Total Hours:

___________________________________

Supervisor Name (print):

Supervisor Signature:
Supervisor Phone:
Supervisor e-mail:

___________________________________
___________________________________
___________________________________
___________________________________

Agency/Type of Service:

___________________________________

Date(s)
Date(s)
Date(s)

___________________________________
___________________________________
___________________________________

Total Hours:

___________________________________

Supervisor Name (print):

Supervisor Signature:
Supervisor Phone:
Supervisor e-mail:

___________________________________
___________________________________
___________________________________
___________________________________

proposal must be in writing and agreed upon by the CSN

student and CSN instructor prior to accumulation of hours.

Service Learning Preapproval (10 Hours)

Complete this form and submit to your CSN instructor before proceeding with your contact hours
Sydne Faith Yanez

Your Full Name (print):

______________________________________________________________________

CSN Professor (print):

Vicki
L. Rieger M. Ed.
______________________________________________________________________

Sara Hair Limbaugh

Name of Agency/Contact Person ______________________________________________________________________
Agency Address:
Agency Phone:

Contact Persons email:

7055 Windy Street, Suit B, Las Vegas, Nevada 89119

______________________________________________________________________

______________________________________________________________________

(702) 285-1001

mollylimbaugh@yahoo.com

______________________________________________________________________

DIRECTIONS: Complete the following 3 sections so that your instructor and impacted agency is aware of your service learning requirement plan.

NEED/PURPOSE: - Why is this service needed? How will it help the community?
Some people can argue that this service is not is not needed. However, I am not one of those people. I believe this
service is needed because there are many teens in our community who have Autism that do not feel comfortable with going to a
regular school dance. This service will help our community by providing children with Autism a chance to go to a dance with more
confidence instead of having to worry about bullying from their peers.
ACTION: - What specifically will you be doing over the 10 hours?
Over the ten hours I have a lot of responsibilities and have to meet many time restraints to make sure the dance runs smooth. The
host of the dance has been a family friend of mine since I was a little girl so she is leaning on me to do a lot. My day will start at one oclock
where I will be picking up balloons from Party City and dropping them off at Sport-Social. When I get there I will be helping them set up all the
decoration that were donated to the event such as streamers, flowers, tables, chairs, posters, photo station, etc. Around five-thirty I will be
taking the host, who is a Cadette girl scout from troop 355 working on her silver award, home to get her all fancied up. I will be doing her
makeup, hair, and nails for her big event. When we get back to the even I will also be helping put on buttoners, and corsages, helping and the
snack and photo booth station when needed, and interacting with the kids on the dance floor from six to eight p.m..

OUTCOMES: - What positive impact will this service have on the community? What do I personally hope to gain from
the experience? What evidence do I need to collect from the agency/contact person to verify my participation?
I believe this service will leave a positive impact on the community by bringing together middle schoolers and high
schoolers who have autism and allow them to meet new friends and others alike while their parents can obtain new
resources through other families. I personally hope to gain from this experience viewing children who have various forms
of Autism interact among each other in a fun setting. I can get a handwritten letter as evidence from the contact person to
verify my participation as well as share a few pictures of the event with you.

February 13, 2015 (approximate date)

SIGNATURES: I have reviewed this service proposal and approve to proceed. The service will begin on __________________
Student:

______________________________________________________________________

Agency/Contact Persons Approval:

______________________________________________________________________

CSN Instructor Approval:

______________________________________________________________________