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Individual Student Service Learning (SSL) Request

About this Form

Form number: 560-50

Audience:  Students

Last revised: August 2023

Related Forms

Form 560-51 - Student Service Learning Activity Verification

Form 560-51A - Organization Responsibility and Assurance Certification Document

STUDENT INSTRUCTIONS: This form is for students to pursue a Student Service Learning (SSL) opportunity that is not identified on the Montgomery County Volunteer Center (MCVC) website. The names of registered nonprofit organizations that have certified compliance with MCPS Guidelines for SSL can be found on Students should be familiar with the Seven Best Practices of Student Service Learning . Students should complete this form by typing into this interactive form, or print legibly in blue or black ink, obtain parent/guardian approval, and submit it to their school-based SSL coordinator at least 2 weeks prior to starting the SSL activity.

Adobe PDF Individual Student Service Learning (SSL) Request90 KEnglish
Adobe PDF Solicitud Individual para Aprendizaje Mediante Servicio Estudiantil72 KSpanish
Adobe PDF Formulaire de Demande pour Le Service Communautaire Individuel68 KFrench
Adobe PDF Đơn Yêu Cầu Dịch Vụ Học Vấn Học Sinh Cá Nhân (SSL)137 KVietnamese
Adobe PDF 個別學生服務學習活動(SSL)申請表198 KChinese
Adobe PDF 학생 봉사학습활동(SSL) 신청서138 KKorean
Adobe PDF የተማሪ የአገልግሎት ትምሀርት (SSL) የግል ጥያቄ96 KAmharic
Adobe PDF Solicitação Individual de Aprendizagem Mediante Serviço Estudantil (sigla em inglês, SSL)99 KPortuguese

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