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Service Learning Student Emergency Contact and Information Form - csus

Service Learning Student Emergency Contact and Information Form - csus 2025

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The document is an Emergency Contact and Information Form required for students participating in service learning. It must be completed and submitted to the placement site before starting service hours. The form collects personal, medical, and emergency contact information, ensuring confidentiality and proper handling in case of emergencies.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'STUDENT INFORMATION' section. Enter your name, address, phone number, email, and city. Ensure all details are accurate for effective communication.
Next, complete the 'INSTRUCTOR INFORMATION' section. Provide your course instructor's name, course title, phone number, and email address.
In the 'MEDICAL INFORMATION' section, list your insurance details including the name of the insurance provider and policy number. Indicate if you are taking any prescribed medications and provide relevant medical information that may be necessary for your community partner.
Fill out the 'EMERGENCY CONTACT INFORMATION' by providing details for both a primary and an alternate contact person. Include their names, relations to you, addresses, and phone numbers.
Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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What is service learning for students?

Service-learning is a pedagogy integrating academically relevant service activities that address human and community needs into a course. Students connect knowledge and theory to practice by combining service with reflection in a structured learning environment.

What is service learning in child development?

Definition: Service-learning is a course-based, credit-bearing educational experience that allows students to (a) participate in an organized service activity that meets identified community needs and (b) reflect on the service activity in such a way as to gain further understanding of course content, a broader

What are the 4 types of service learning?

Direct, Indirect, Advocacy and Research Indirect Service may not be in the presence of the person or thing you are impacting. Service might take the form of fundraising or collections.

How do you incorporate service learning in the classroom?

Six Steps for Successful Service Learning Meaningful service: Make sure your project addresses a community need. Curriculum connections: Apply academic content to practical tasks so students learn by doing. Student leadership: Help students take ownership of the project. Reflection: Make meaning of the experience.

Which of the following are examples of service learning?

Types of Service-Learning Tutoring other students and adults. Conducting art/music/dance lessons for youth. Giving presentations on violence and drug prevention. Helping in a homeless shelter. Creating life reviews for Hospice patients.

Service Learning Student Emergency Contact and Information Form - csus 2025

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Can I complete and sign my Service Learning Student Emergency Contact and Information Form - csus online?

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What is service learning for students?

What is service learning in child development?

What are the 4 types of service learning?

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How do you incorporate service learning in the classroom?

Which of the following are examples of service learning?

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Service Learning Student Emergency Contact and Information Form - csus 2025

Here's how it works

How to use or fill out Service Learning Student Emergency Contact and Information Form - csus with DocHub

Complete this form in 5 minutes or less

Got questions?

Can I complete and sign my Service Learning Student Emergency Contact and Information Form - csus online?

Do I need to set up software to modify my Service Learning Student Emergency Contact and Information Form - csus?

What is service learning for students?

What is service learning in child development?

What are the 4 types of service learning?

Related Searches

Related forms

Complete this form in 5 minutes or less

People also ask

How do you incorporate service learning in the classroom?

Which of the following are examples of service learning?

Related links

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