Service Learning (ACTS) Application
Students selected to enroll in Service Learning will earn an elective credit for performing community service.
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Email *
First Name: *
Last Name: *
Current Grade: *
Current Academy: *
How many days of school have you missed this year? *
Have you ever been suspended or required to attend RLC? If so, why? *
What is your GPA? *
I understand that my attendance and discipline records and my GPA will be checked as part of the application process. *
I understand that I can not be paid for my service. (If you want to earn a credit for having a job, you need to register for Work Based Learning instead of this class.) *
I understand that if I choose to serve off campus for Service Learning, transportation is my responsibility. *
What would you like to do for your community service? *
ONLY ANSWER THIS QUESTION IF YOU WANT TO SERVE AS A TEACHER'S AIDE AT HVA. If you want to serve at HVA, you must find a teacher or staff member NOW who wants your help. Name the staff member who has agreed to have you as their helper here. (This person must also submit a separate form requesting your help in order for you to be placed with them.)
ONLY ANSWER THIS QUESTION IF YOU WANT TO SERVE AS A TEACHER'S AIDE AT HVA. Explain in detail what you will be doing to help the staff member you listed above.
ONLY ANSWER THIS QUESTION IF YOU WANT TO SERVE AS A TEACHER'S AIDE AT HVES.
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ONLY ANSWER THIS QUESTION IF YOU WANT TO SERVE SOMEWHERE BESIDES HVA or HVES: If you have a different placement in mind other than HVA or HVES, please name the location, the person you will be working with, and explain in detail what you will be doing to help this person.
A copy of your responses will be emailed to the address you provided.
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