12A. Print pgs.

3 4 5

College of Southern Nevada Education Department’s

Service Learning Assignment
(10 Hours)
EDU 280 - Valuing Cultural Diversity
 
Imagine​ ​the difference in the Las Vegas community, when you become a 
part of it! 
 
 
Teachers make our community  Observation required in Edu. 201, 202, 
better... outside the classroom too.  203 courses 
  How it works​...​ On the next page, you 
Whether  seeking  employment  with  a  will read about approved ways to satisfy the 
local  education  agency,  applying  for  an  Service Learning component of your Edu. 280 
education  scholarship,  or  writing  a  class. These suggestions can be used alone, or 
proposal  for grant funding, it is important  in combination, to arrive at the minimum ​10 
hour Service Learning​ requirement. This 
that  an  applicant  show  a  genuine  assignment is worth 10% of the total grade of 
commitment to their community.   our Edu. 280 course. 
   
The  Service  Learning  component  of  your  Use the ​Service Learning Pre-approval​ form 
CSN  EDU  280  class  gives  you  the  (page 3) and submit to your Edu. 280 
opportunity  to  build  upon  your  existing  instructor to get pre-approval for your project 
community  service  commitment,  or  set  before you begin. Use the ​Service Learning 
Log​ (page 4) to document your hours of 
the  foundation  for  many  years  of  service, along with any supporting material 
community  involvement  and  service  to  required by your instructor. A letter on agency 
others.  As  a  matter  of  fact,  statistics  letterhead from an organization administrator 
show  that  most  teachers  began  thinking  is the typical documentation needed to 
about  education  as  a  career  after  validate your hours. Your instructor will 
volunteering  in  some  capacity  with  local  provide you with more information about how 
schools,  religious  groups,  or  community  they will want these documents submitted, 
and their specific due dates during the 
organizations.  semester.  
   
Your Service Learning in Edu. 280 is not  This documentation should also be archived 
the same as the 10 hour Field  for use in your EDU 299 portfolio course. 
 1

Service Learning Component ​(10

Hours)
EDU 280 - Valuing Cultural Diversity
 
Approved Service Learning Choices 
Community Service  performed, and duration of  n-serves​ CSN Serves 
Option​ ​in which the  the community service to  already has a number of 
student works in a  the private school.  agencies that you can 
volunteer capacity at any  Organized Field Trip  volunteer at, and also earn 
non-profit agency that  Your CSN instructor may  transcript credit along with 
allows volunteers, and that  be able to organize an  meeting the requirements 
serves the betterment of  educationally based field  for this EDU 280 course. 
school age children in the  trip in which all members   
community. This agency is  of the class meet at  Other Service​ The 
one in which the student  another location, instead  student can design and 
solicits and can obtain a  of attending class at the  present a unique service 
verified letterhead of  regular scheduled time to  oriented educational 
participation or certificate  earn service credit.  experience to their 
from the organization’s  Students must fill out  instructor. The proposal 
leadership that documents  CSN’s Field Trip Waiver  must be in writing and 
their participation and  and provide it to the  agreed upon by the CSN 
hours of credit once  instructor before traveling  student and CSN 
completed.  to a sponsored  instructor ​prior​ to 
  off-campus event. Credit  accumulation of hours. 
Private School (​ non-CCSD)  hours and verification for   
The student must arrange  this experience will be  YOU MAY NOT​ ​list any 
contact and obtain written  determined by your  CCSD public school as 
permission from the  instructor.   the agency for this Service 
private school’s    Learning Proposal. Why? 
administration prior to  “CSN Serves” Volunteer  First of all, the 10 hours of 
visitation, and must have  If you have no idea where  Field Observation you 
an officer of the school  to start, consider visiting  completed during your 
provide signed verification  the ​CSN Serves​ website  EDU 201, 202, or 203 
upon school letterhead of  and signing up there  courses is independent of 
the type of service  https://www.csn.edu/cs the 10 hours serving the 
 community at a non-profit  permission to volunteer  this EDU 280 course. 
agency. ​DO NOT cold call  there. No CCSD schools   
any CCSD school to ask  will be pre-approved for 

Service Learning Pre-approval ​(10 Hours) ​ ​Roster 

#____ 
Complete this form and submit to your CSN instructor ​before​ proceeding with your contact hours  
 

Your Full Name: Destini Davenport 

CSN Professor: ​Robert Shkorupa 

Agency Name: Three Square/ Ronald Mcdonald 

Agency Address: 4220 N. Pecos Rd 89115/ 1111 N Town Center Drive 89144 

Agency Phone: 702-644-3663/ 702-562-7272 

Agency Contact Person: Majorie Benito/ April Jay Vargas 

Contact Person’s email: Volunteers@threesquare/ april.vargas@capitalone.com 

DIRECTIONS: Complete the following 3 sections and submit to your instructor so they are aware of your service 
learning requirement plan. 
 
NEED/PURPOSE: - ​Why is this service needed? How will it help the community? 
 
Three square is you are providing the children in schools with healthy meals. Children go to
school with empty bellies, trying to hide the pain. Hard Working parents struggle to put food
on the table, often going without so their kids can eat. Capital one service you are decorating
children's lunches with positive sayings to put a smile on a child's face and make them feel
loved.

 
 
ACTION: - ​What specifically will you be doing during the 10 hours at this agency? 
 
Three squares you are putting healthy foods in each tray for a child. Capital one you are writing 
positive sayings on lunch bags and decorating them with colors and stickers.  
 
 
 
NEED/PURPOSE: - OUTCOMES: - ​What positive impact will this service have on the community? 
What do I personally hope to gain from the experience? What evidence will I be able to collect 
from the agency/contact person to verify my participation? 
1. The positive impact of bothe services have on community is feeding hungry children and 
helping children who feel depressed or not loved a reason to smile, 
2. What I hope to gain from both these experiences is that I need to realize the blessing I 
have to get three meals a day and that kind words can really make someone's day and 
make them feel loved. 
3. What evidence I can collect to verify my participation at these services is emails, on the 
Company website, and a call from the agency. 
 
 
 
SIGNATURES: I have reviewed this service proposal and request to proceed. Any future changes to this 
proposal must be submitted to your instructor​. 
 
The service will begin on ____10/11/2019______________ (approximate date) 
 
CSN Student: ___________Destini Davenport______________________________________________________________ 
 
CSN Instructor Approval: ___Robert Shkorupa___________________________________________________________ 

3
   

Service Learning Log ​(10 Hours)

Edu. 280 - Valuing Cultural Diversity
Name:​ ____Destini Davenport_________________________________________
Roster #​_6____
Complete service learning components to equal 10 hours or more. Be sure to attach specific additional
documents required by your instructor for each type of service listed below.

Community Service: ​Option in which the student works in a volunteer capacity at any non-profit agency that
allows volunteers, and that serves the betterment of school age children in the community. This agency is one in
which the student solicits and can obtain a verified letterhead of participation or certificate from the organization’s
leadership that documents their participation and hours of credit

Private School Service: ​The student must arrange contact and obtain written permission from the school’s
administration prior to visitation, and must have an officer of the school provide signed verification upon school
letterhead of the type of service

Organized Field Trip: ​Your CSN instructor may be able to organize an educationally based field trip in which all
members of the class meet at another location, instead of attending class at the regular scheduled time to earn
service credit. Students must fill out CSN’s Field Trip Waiver and provide it to the instructor before traveling to a
sponsored off-campus event. Credit hours and verification for this experience will be determined by your
instructor.
Other Service ​The student can design and present a unique service oriented educational experience to their
instructor. The proposal must be in writing and agreed upon by the CSN student and CSN instructor prior to
accumulation of hours.

YOU MAY NOT list any CCSD public school as the agency for this Service Learning Proposal. Why? First of all, the
10 hours for Field Observation you completed during your EDU 201, 202, or 203 courses is independent of the 10
hours serving the community at a non-profit agency. DO NOT cold call any CCSD school to ask permission to
volunteer there. No CCSD schools will be pre-approved for this EDU 280 course.

Agency/Type of Service: ​__Three Square_________________________ ​Agency/Type of Service: __Ronald

Mcdonald________________________
Date(s) ____10/11/19 1:00pm- 5:00pm____________ Date(s) __10/21/19__ 6pm-7pm___________
Date(s) ________________ Date(s) ____10/25/19__2pm-4pm_________
Date(s) ________________ Date(s) ____10/28/19___3pm-6pm________
Total Hours: _4 HRS_________ Total Hours: ___6HRS_______
Supervisor Name (print): __Majorie Benito_________________________ Supervisor Name (print): __April Jay
Vargas_______________________
Supervisor Signature: ___Majorie Benito__________________________ Supervisor signature: April Jay
Vargas____________________________
Supervisor Phone: ______702-644-3663__________________________ Supervisor Phone:
702-249-5080______________________________
Supervisor email: ____Volunteers@threesquare.com_____________________​ ​__ Supervisor email:
________april.vargas@capitalone.com______________________

4
 

 
 
Dear Community Service Agency Representative:  
 
The Education Department of the College of Southern Nevada is pleased that you have 
chosen to partner with our pre-service teacher education program to provide a 
community service learning opportunity for our students.  
 
We are pleased to present you with CSN STUDENT_______________________ 
who is currently enrolled in our Edu. 280 Valuing Cultural Diversity course at CSN. 
Service learning experiences help our preservice teachers be successful in their future 
careers. Our faculty believes that this experience provides real” hands-on learning, 
which allows our students the opportunity to understand the challenges and necessary 
problem-solving skills and needs inherent in the community we all live in. 
 
The CSN student providing you with this letter has agreed to follow the policies of the 
department and must conduct themselves appropriately while volunteering with your 
agency. The Service Learning packet includes a ​Pre-Approval ​form that was 
preapproved by their CSN instructor, and also a ​Verification Sheet​. That section is 
provided to the agency so the student can earn credit for their service. The verification 
sheet includes agency information and spaces to log contact hours before ultimately 
obtaining an agency administrator’s signature for verification. A company letterhead 
correspondence is also encouraged, because it can be included in the student’s 
professional portfolio. 
 
We are confident that our students will perform well with your agency. They understand 
that they are interfacing with a very busy operation, and we expect them to represent 
our department and our college appropriately. 
 
We know that from time to time issues may arise. We want you to know that you are 
free to contact the CSN Instructor at any time to assure things are being correctly 
managed. The following contact information is available if you find yourself in need of 
assistance from CSN. 
 
Instructor: ​Professor Robert Shkorupa ​ Phone: ​(7
​ 02) 651-4333    
 
NOTE:​ Please send an Email to:​ r​ obert.shkorupa​@​csn.edu​ t​ o validate the 
completion of the volunteer hrs. the student completed.   
  
Department of Education, College of Southern Nevada
Phone: (702) 651-4400
Department Chair: Dr. Rochelle Hooks
Email: ​rochelle.hooks@csn.edu 

Thanks !
5