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COMMUNITY SERVICE

STUDENT PROJECT REPORT FORM

SECTION A: PROJECT BACKGROUND

GROUP INFORMATION

Name
Student ID
Programme
Semester/ Part
Email Address
Contact No.
Study Centre

TEAM MEMBERS INFORMATION

Project Type Range of group size.

Details of group Student ID Name


members

ORGANIZATION INFORMATION

Name of Main
Community/
Organization
Contact Person
Name
Phone No.
Email Address
Address

SECTION B: PAGES

GS/Community Service/Project Form


COMMUNITY SERVICE
STUDENT PROJECT REPORT FORM

SECTION C: SUMMARY OF PROJECT INFORMATION

PROJECT INFORMATION

GS/Community Service/Project Form


COMMUNITY SERVICE
STUDENT PROJECT REPORT FORM

Project Title

Project Description Plan Actual

1. Target group.

2. Reason for choosing


group.

3. Expected outcome.

4. How does it benefit the


group?

5. Budget (If any).

6. Evaluation by target
group.
(Sample of minimally 10
peoples)

GS/Community Service/Project Form


COMMUNITY SERVICE
STUDENT PROJECT REPORT FORM

Total Hours of Service

SECTION D: DETAILS OF PROJECT INFORMATION

GS/Community Service/Project Form


COMMUNITY SERVICE
STUDENT PROJECT REPORT FORM

SECTION E: PICTURES AND EVIDENCES

GS/Community Service/Project Form


COMMUNITY SERVICE
STUDENT PROJECT REPORT FORM

SECTION F: REFLECTIVE QUESTIONS

 How did you accomplish your goals for this experience?

 What did you learn about yourself through this experience?

 Were your expectations for this experience realistic? Why or


why not?

 What was your biggest success in this project?

 How did you change as a result of this experience?

GS/Community Service/Project Form


COMMUNITY SERVICE
STUDENT PROJECT REPORT FORM

 What have you done that you didn’t ever think you would be able
to do?

 What impact does your organization have on the community?

OVERALL COMMENT FROM TRAINER

Name:

Date:

Signature:

GROUP-ASSESSMENT RUBRIC (30%)

Rubric Description VERY GOOD GOOD NEEDS


IMPROVEMENT
(5 Marks) (3 Marks) (1 Mark)
Group Participation
You participated equally in the Very Good Good Needs Improvement
creating of your project.

Attitude
You easily listened to your team Very Good Good Needs Improvement
mate. You were friendly, enthusiastic
and positive during group work.

Team Work

GS/Community Service/Project Form


COMMUNITY SERVICE
STUDENT PROJECT REPORT FORM

You helped and encouraged your Very Good Good Needs Improvement
team mate to share more ideas.

Team Player
You work well together, listened to Very Good Good Needs Improvement
each other’s suggestions, open to
each other’s idea.

Creativity
You contributed with creative ideas Very Good Good Needs Improvement
that enhances project.

Problem Solver
You were quick to suggest solutions Very Good Good Needs Improvement
to problems with project as they
occurred.

TOTAL

GS/Community Service/Project Form

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