Service Learning Submission

A service learning credit is fulfilled by consistent ongoing volunteer time throughout a semester (minimum 20 hours). Please submit a form for each Service Learning credit, as they are completed. For more details, please refer to the Service Learning page of our website.

Briercrest reserves the right to verify any information submitted through this form.

Student Name Student Name First Last
Degree Program
Email Address
Anticipated Graduation Year
Was the service paid (stipend, scholarship, or other remuneration) or did you receive academic credit for it?

Was the service paid (stipend, scholarship, or other remuneration) or did you receive academic credit for it? Yes No

To appeal to receive credit for paid service, please email servicelearning@briercrest.ca for instructions.
Organization Details

If you have a collection of service opportunities, use this standard online form and list organization as "Collection." In the text box where you are asked to "Provide a summary of your service opportunity and involvement," list the variety of service you completed.
Name of organization served
Type of service

Type of service Church Briercrest Other (provide details below)
Starting date of service Starting date of service / MM / DD YYYY
Ending date of service Ending date of service / MM / DD YYYY
Provide a summary of your service opportunity and involvement

500 words
Average number of hours served

per week / per month / total average
Supervisor details

Supervisors should be primarily responsible for the deliver of the service, not solely a witness to the service. Supervisors may not be other college students.
I have a supervisor who can verify my service hours.
Supervisor Name Supervisor Name First Last
Supervisor title
Supervisor email
Supervisor cell # Supervisor cell # - ### - ### ####
Reflection Assignment
Self-reflection: How has this opportunity impacted your sense of community, your willingness to serve others, and your confidence in ministry?

500 words
Evaluation: How has your experience influenced your future involvement? What went well, and what would you change?

500 words
Follow up: Will you continue with this type of service (or encourage others to be involved)? How so?

500 words

Service Learning Submission

Service Learning Submission

Organization Details

Supervisor details

Reflection Assignment