Program Book

Community Service Project

AP STATE COUNCIL OF HIGHER

EDUCATION
(A STATUTORY BODY OF GOVERNMENT OF ANDHRA PRADESH
 Program Book
for
Community Service Project

Name of the Student:

Name of the College:

Registration Number:

Period of CSP: From: To:

Name & Address of the Community/Habitation:

 Community Service Project Report

Submitted in accordance with the requirement for the degree of………….

Name of the College:

Department:

Name of the Faculty Guide:

Duration of the CSP: From………To………

Name of the Student:

Programme of Study

Year of Study:

Register Number:

Date of Submission:
 Student’s Declaration

I,…..............,a student of …….Program, Reg. No. ………………of the

Department of……., ……………… College do hereby declare that I have
completed the mandatory community service from…….. to ................. in
………………. (Name of the Community/Habitation) under the Faculty
Guideship of.................., (Name of the Faculty Guide), Department
of………………in ..................................................... College

(Signature and Date)

Endorsements

Faculty Guide

Head of the Department

Principal
 Certificate from Official of the Community

This is to certify that ………………………. (Name of the Community Service

Volunteer) Reg. No……………… of …………………… Name of the College)
underwent community service in …………………………… (Name of the
Community) from……………… to …………………..

The overall performance of the Community Service Volunteer during his/her

community service is found to be ......................... (Satisfactory/Good).

Authorized Signatory with Date and Seal

ACKNOWLEDGEMENTS
 CHAPTER 1: EXECUTIVE SUMMARY

The community service report shall have only a one-page executive summary. It shall
include a brief description of the Community and summary of all the activities done by
the student in CSP and five or more learning objectives and outcomes.
 CHAPTER 2: OVERVIEW OF THE COMMUNITY
 About the Community/Village/Habitation including historical profile of the
community/habitation, community diversity, traditions, ethics and values.
 Brief note on Socio-Economic conditions of the Community/Habitation.
 CHAPTER 3: COMMUNITY SERVICE PART
Description of the Activities undertaken in the Community during the Community
Service Project. This part could end by reflecting on what kind of values, life skills, and
technical skills the student acquired.
 ACTIVITY LOG FOR THE FIRST WEEK

DAY LEARNING OUTCOME Person

BRIEF DESCRIPTION OF
& DATE In-charge
THE DAILY
Signature
ACTIVITY

Day –1

Day - 2

Day –3

Day –4

Day –5

Day –6
 WEEKLY REPORT
WEEK – 1 (From Dt………..….. to Dt… .............. )
Objective of the Activity Done:

Detailed Report:
 ACTIVITY LOG FOR THE SECOND WEEK

DAY LEARNING Person

BRIEF DESCRIPTION OF
& DATE OUTCOME In-charge
THEDAILY
Signature
ACTIVITY

Day –1

Day -2

Day –3

Day –4

Day –5

Day –6
 WEEKLY REPORT
WEEK – 2 (From Dt………..….. to Dt… .............. )
Objective of the Activity Done:

Detailed Report:
 ACTIVITY LOG FOR THE THIRD WEEK

DAY LEARNING Person

BRIEF DESCRIPTION OF THE
& DATE OUTCOME
In-charge
DAILY ACTIVITY
Signature

Day –1

Day - 2

Day –3

Day –4

Day –5

Day –6
 WEEKLY REPORT
WEEK – 3 (From Dt………..….. to Dt… .............. )
Objective of the Activity Done:

Detailed Report:
 ACTIVITY LOG FOR THE FOURTH WEEK

DAY LEARNING OUTCOME Person

BRIEF DESCRIPTION OF THE
& DATE In-charge
DAILY ACTIVITY
Signature

Day –1

Day - 2

Day –3

Day –4

Day –5

Day –6
 WEEKLY REPORT
WEEK – 4 (From Dt………..….. to Dt… .............. )
Objective of the Activity Done:

Detailed Report:
 ACTIVITY LOG FOR THE FIFTH WEEK

DAY LEARNING OUTCOME Person

BRIEF DESCRIPTION OF THE
& DATE In-charge
DAILY ACTIVITY
Signature

Day –1

Day -2

Day –3

Day –4

Day –5

Day –6
 WEEKLY REPORT
WEEK – 5 (From Dt………..….. to Dt… .............. )
Objective of the Activity Done:

Detailed Report:
 ACTIVITY LOG FOR THE SIXTH WEEK

DAY LEARNING OUTCOME Person

BRIEF DESCRIPTION OF THE
& DATE In-charge
DAILY ACTIVITY
Signature

Day –1

Day - 2

Day –3

Day –4

Day –5

Day –6
 WEEKLY REPORT
WEEK – 6 (From Dt………..….. to Dt… .............. )
Objective of the Activity Done:

Detailed Report:
 CHAPTER 5: OUTCOMES DESCRIPTION

Details of the Socio-Economic Survey of the Village/Habitation. Attach the

questionnaire prepared for the survey.
Describe the problems you have identified in the community
Short-term and long term action plan for possible solutions for the problems
identified and that could be recommended to the concerned authorities for
implementation.
Description of the Community awareness programme/s conducted w.r.t the
problems and their outcomes.
 Report of the mini-project work done in the related subject w.r.t the
habitation/village.

A mini-project work in the related subject w.r.t the habitation/village. (For ex., a
student of Botany may do a project on Organic Farming or Horticulture or usage of
biofertilizers or biopesticides or effect of the inorganic pesticides, etc. A student of
Zoology may do a project on Aquaculture practices or animal husbandry or poultry or
health and hygiene or Blood group analysis or survey on the Hypertension or survey
on the prevalence of diabetes, etc.
The Report shall be limited to 6 pages.
CHAPTER 6: RECOMMENDATIONS AND CONCLUSIONS OF THE MINI PROJECT
 Student Self-Evaluation for the Community Service Project

Student Name:

Registration No:

Period of CSP: From: To:

Date of Evaluation:

Name of the Person in-charge:

Address with mobile number:

Please rate your performance in the following areas:

Rating Scale: 1 is lowest and 5 is highest rank

1) Oral communication 1 2 3 4 5

2) Written communication 1 2 3 4 5

3) Proactiveness 1 2 3 4 5

4) Interaction ability with community 1 2 3 4 5

5) Positive Attitude 1 2 3 4 5

6) Self-confidence 1 2 3 4 5

7) Ability to learn 1 2 3 4 5

8) Work Plan and organization 1 2 3 4 5

9) Professionalism 1 2 3 4 5

10) Creativity 1 2 3 4 5

11) Quality of work done 1 2 3 4 5

12) Time Management 1 2 3 4 5

13) Understanding the Community 1 2 3 4 5

14) Achievement of Desired Outcomes 1 2 3 4 5

15) OVERALL PERFORMANCE 1 2 3 4 5

Date: Signature of the Student

 Evaluation by the Person in-charge in the Community/Habitation

Student Name:

Registration No:

Period of CSP: From: To:

Date of Evaluation:

Name of the Person in-charge:

Address with mobile number:

Please rate the student’s performance in the following areas:

Please note that your evaluation shall be done independent of the Student’s self-evaluation

Rating Scale: 1 is lowest and 5 is highest rank

1) Oral communication 1 2 3 4 5

2) Written communication 1 2 3 4 5

3) Proactiveness 1 2 3 4 5

4) Interaction ability with community 1 2 3 4 5

5) Positive Attitude 1 2 3 4 5

6) Self-confidence 1 2 3 4 5

7) Ability to learn 1 2 3 4 5

8) Work Plan and organization 1 2 3 4 5

9) Professionalism 1 2 3 4 5

10) Creativity 1 2 3 4 5

11) Quality of work done 1 2 3 4 5

12) Time Management 1 2 3 4 5

13) Understanding the Community 1 2 3 4 5

14) Achievement of Desired Outcomes 1 2 3 4 5

15) OVERALL PERFORMANCE 1 2 3 4 5

Date: Signature of the Supervisor

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