Please note, you must be logged into your MySWC Email account and logged out of any personal Google accounts to access and fill out the form.  

STUDENTS: Please complete this form. Upon completion, you will receive the Service Learning Agreement Form generated through your SWC email. Next, e-signature requests will be sent to Student, Instructor, and Agency Contact Person.
FACULTY: This form is REQUIRED of all Service Learning students and ALL e-signature requirements must be secured before student can start volunteer activities.

SERVICE LEARNING PROGRAM STATEMENT
• The student will comply with the Service Learning program guidelines and regulations.
• The agency and the college will provide necessary supervision and counseling to ensure that the student receives appropriate educational benefits from this volunteer experience.  
•  It is understood the college and agency will, as required by law, comply with all appropriate federal and state regulations.  
•  Pursuant to Labor Code Section 3368, workers’ compensation coverage is provided for students enrolled in classes through the Southwestern Community College District.  
•  The Agency and the District shall secure and maintain comprehensive general liability insurance.
•  The agency reserves the right to terminate a student due to unsatisfactory progress, or failure to meet work standards, at which time the college will be notified.  
•  The college reserves the right to terminate a student who may become ineligible, at which time the agency will be notified. Students are not employees of the agency and are not entitled to any benefits to which agency employees are entitled.

• If applicable, COVID-19 Protocol: In-person activities must follow the current COVID-19 protocols of SWC.  For example, if a student is not vaccinated or exempt, they could not participate in in-person Service Learning activities at this time and would need to be virtual. Likewise, SWC student must agree and abide by the Agency’s COVID-19 Protocol before performing any volunteer activities.

•  The undersigned agree with the validity of the learning objectives and program statement listed above.