Great service starts with careful listening. This section explores how you discovered a community need and why it matters.
Describe the community you chose to serve (people, place, shared interest, or environment).
How did you first notice that this community had an unmet need?
Which method(s) helped you confirm the need was real? (Choose the most influential one.)
Informal conversations
Surveys/questionnaires
Observation notes
Existing reports/data
Personal experience
Other:
What surprised you most during these conversations?
How many responses did you collect?
Did you consult a member of that community before finalising your project idea?
What advice did they give and how did it shape your plan?
How might you involve them in future steps?
Ethical service protects dignity, avoids harm, and shares power. Reflect on your responsibilities here.
Which ethical guidelines did you consider before acting? (Select all that apply.)
Respecting privacy
Avoiding pity-based narratives
Seeking consent before photos/stories
Ensuring safety for all
Reducing environmental impact
Other:
Did you have to decide between two values (e.g., honesty vs. kindness)?
Describe the dilemma and how you resolved it.
Rate your confidence that your project respected human dignity.
Very unsure
Unsure
Neutral
Confident
Very confident
A thoughtful plan turns concern into effective action. Outline your roadmap here.
State the main goal of your service in one sentence, then list up to three objectives that are specific and measurable.
Action timeline
Target date | Key task | Status | Reflection/Changes | ||
|---|---|---|---|---|---|
A | B | C | D | ||
1 | |||||
2 | |||||
3 | |||||
4 | |||||
5 |
Who was primarily responsible for decision-making?
Me alone
Me with adult guidance
My team of peers
Community members
Shared (students + community)
Did you create a budget or resource list?
Total funds or estimated value of resources used:
Which skills did you personally apply? (Select all that apply.)
Art & design
Storytelling/writing
Science & data
Craft/making
Performance/music
Languages/translation
Digital tech
Facilitation/teaching
Other
Service is rarely a solo act. Evaluate how you worked with others.
How many people (excluding you) helped bring this project to life?
Team roles
Name/Role | Main responsibility | How valued did they feel? (1=very unhappy, 5=very happy) | ||
|---|---|---|---|---|
A | B | C | ||
1 | ||||
2 | ||||
3 | ||||
4 | ||||
5 |
Did conflict arise within the team?
Describe the conflict-resolution strategy you used.
Reflection turns experience into insight. Be honest about what you discovered about yourself and the world.
Rate how much you grew in the following areas:
No growth | A little | Moderate | Much | Transformed | |
|---|---|---|---|---|---|
Understanding community strengths | |||||
Problem-solving under constraints | |||||
Empathy & perspective-taking | |||||
Leadership confidence | |||||
Planning & organising |
Which assumption did you hold before the project that changed afterwards?
How comfortable were you stepping into unfamiliar situations?
Very uncomfortable
Uncomfortable
Neutral
Comfortable
Very comfortable
Did you keep a journal, blog, or portfolio?
Share one entry that captures a turning point.
Impact can be numbers, narratives, or both. Document evidence of change here.
Approximately how many individuals, animals, or sites directly benefited?
Describe one concrete change you observed (behaviour, condition, awareness, etc.).
Impact indicators
Indicator | Before | After | How verified? | ||
|---|---|---|---|---|---|
A | B | C | D | ||
1 | Trash collected (kg) | 0 | 15 | Weighed on school scale | |
2 | Participants who can explain recycling | 30% | 80% | Quick show-of-hands quiz | |
3 | |||||
4 | |||||
5 |
Did you collect feedback from beneficiaries?
How did you collect it?
Informal chat
Paper survey
Digital form
Focus group
Other
Overall beneficiary sentiment about your project:
On a scale of 1-10, how sustainable do you believe your impact is without your continued presence?
Service learning connects local actions to global values. Where will you go from here?
Which United Nations Sustainable Development Goal(s) does your project most closely relate to and why?
Do you intend to continue supporting this cause?
Outline your next three steps.
Explain what you will prioritise instead and how you will hand over your project responsibly.
Which competencies from this experience will you apply to new issues? (Select all that apply.)
Systems thinking
Ethical reasoning
Cross-cultural collaboration
Data-driven decision making
Storytelling for change
Resource mobilisation
Other
How has this project influenced your sense of responsibility toward people you may never meet?
No change
Slight increase
Moderate increase
Large increase
Transformed worldview
Write a tweet-length call-to-action that could inspire other students to start their own service journey.
Upload files that best illustrate your journey. Ensure you have permission from people shown.
Upload up to three images (with captions) that show your project in action.
Attach any flyers, presentations, or reports you created.
Do you have a 2-minute video summary?
Upload video (max 100 MB).
By submitting this form, you confirm the information is accurate and respectful of all participants.
I have credited everyone who helped me.
I obtained consent before sharing photos or personal stories.
Student signature:
Analysis for Middle School Service Learning & Social Impact Assessment Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
This scaffolded evaluation brilliantly mirrors the authentic service-learning cycle, guiding students from empathetic need-finding to measurable impact while foregrounding ethics and dignity. The progression of question types—from open discovery through numeric indicators to reflective matrices—matches adolescent cognitive development and keeps cognitive load manageable. Placeholder examples (e.g., "residents of a riverside neighbourhood, stray cats...") are culturally neutral yet vivid, allowing any student to see a pathway without prescribing the context. Mandatory fields are concentrated in the early “need identification” and “goal setting” phases, ensuring that the minimum dataset required for teacher assessment is captured even if a learner abandons the form later.
However, the form’s length (≈40 items) risks fatigue; middle-school attention spans typically peak at 20–25 discrete inputs. Several high-cognitive-demand items appear late (UN SDG alignment, tweet-length call-to-action), which may yield lower-quality responses. A one-click “save & return” or progress-bar indicator is strongly recommended to reduce abandonment.
This open prompt activates prior knowledge and forces specificity—students must move from vague “I helped people” to a bounded group, place, or ecosystem. The multiline box encourages narrative detail that later supports teacher rubric strands such as “demonstrates understanding of community assets.” Data quality is high because the learner’s own words become evidence for both formative feedback and summative assessment. Privacy risk is minimal; no personally identifiable information (PII) is requested.
From a UX lens, the generous placeholder text lowers the barrier for English-language learners or students with writing anxiety. Because the field is mandatory, learners cannot proceed without articulating a community; this prevents empty “I don’t know” submissions and gives teachers an early diagnostic signal.
This question operationalizes the design-thinking principle of empathy through observation. By surfacing the “moment of noticing,” students rehearse storytelling skills valued in capstone presentations. The teacher gains insight into whether the need was self-reported by the community or inferred by the student—a critical distinction for ethical service.
The mandatory status guarantees that every submission contains an origin story, enabling comparative analysis across projects. Longitudinally, districts can aggregate these micro-narratives to identify common catalysts (e.g., “walking home from school”) and build future place-based curricula around those authentic entry points.
Offering a single-choice constraint forces prioritization, a key executive-function skill for 11–14-year-olds. Follow-up sub-questions adaptively deepen the response: numeric input for survey sample size, reflection for conversational insights. This branching keeps the form lean while still producing rich qualitative data.
Mandatory confirmation prevents “parachute” projects where students impose an outside solution. The item implicitly teaches that evidence precedes action, aligning with both IB MYP Service Learning standards and UN SDG target 4.7.
This yes/no gate embodies the ethics of shared power. The conditional follow-up (advice received or future-invite plan) operationalizes respect for autonomy. Making this mandatory signals to students that co-design is non-negotiable, a cultural shift away from traditional charity models.
From a data-collection standpoint, the binary plus conditional text yields a clean indicator for program evaluators: the percentage of projects that are community-consulted. Over years, schools can track growth toward participatory practice.
Requiring a concise goal plus three SMART objectives scaffolds backward-design thinking. The sentence limit trains syntactic brevity, while the numbered list checks alignment with the original need. Teachers can rapidly scan for verbs from Bloom’s taxonomy (e.g., “increase,” “reduce,” “educate”).
Mandatory completion ensures every project has a benchmark against which impact indicators can later be compared, strengthening the validity of student self-assessment.
This single-choice item quantifies locus of control, a predictor of sustained civic identity. The option set ranges from adult-led to youth-led to community-shared, mapping directly onto Hart’s Ladder of Youth Participation. Mandatory data allows counselors to identify students who may need more autonomy scaffolding next semester.
The form collects no direct PII except optional names in team-role tables; even there, students can use pseudonyms. Images and videos are explicitly gated by consent checkboxes, aligning with FERPA and GDPR-K standards. Numeric indicators (kg of trash, survey n-sizes) produce quantifiable datasets suitable for visualizing school-wide impact without exposing individuals.
Mandatory Question Analysis for Middle School Service Learning & Social Impact Assessment Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
Question: Describe the community you chose to serve (people, place, shared interest, or environment).
Justification: This descriptor anchors the entire service-learning narrative. Without a clearly bounded community, subsequent questions about need, impact, and ethics lack context. Mandatory status ensures evaluators can categorize projects for school-wide analytics and safeguards against generic, untargeted interventions.
Question: How did you first notice that this community had an unmet need?
Justification: Capturing the “moment of noticing” is essential for assessing empathy and observational skills—core competencies in the Applied Citizenship framework. It also provides teachers with formative data on whether students are engaging in surface-level or deep community immersion.
Question: Which method(s) helped you confirm the need was real? (Choose the most influential one.)
Justification: Requiring evidence-based confirmation prevents well-intentioned but misinformed projects. The adaptive follow-ups (sample size, reflections) generate differentiated data that can be rubric-scored for research quality, a key standard in IB Design and MYP Service.
Question: Did you consult a member of that community before finalising your project idea?
Justification: Ethical service demands consent and co-design. Making this mandatory institutionalizes respect for community voice and provides a binary indicator for program-level equity audits.
Question: State the main goal of your service in one sentence, then list up to three objectives that are specific and measurable.
Justification: Clear goals are prerequisites for impact measurement. Mandatory completion guarantees that every submission can be evaluated against its own stated intentions, supporting both formative coaching and summative grading.
Question: Who was primarily responsible for decision-making?
Justification: Locus of control predicts youth civic identity development. Requiring this field yields data for counselors to tailor autonomy supports and for schools to track progress toward student-led service.
Question (Final Declaration): I have credited everyone who helped me.
Justification: Academic integrity and ethical citizenship require attribution. A mandatory checkbox prevents plagiarism and reinforces a culture of gratitude.
Question (Final Declaration): I obtained consent before sharing photos or personal stories.
Justification: FERPA, GDPR-K, and school media policies mandate verifiable consent. Mandatory acceptance reduces legal risk and embeds privacy norms.
The current ratio—approximately 8 mandatory items out of 40 total—strikes an effective balance between data integrity and completion rates. Concentrating mandatory fields in the first three sections allows teachers to make a preliminary assessment even if a student abandons the form later. To further optimize, consider making the budget and timeline tables conditionally mandatory only when the student selects “me with adult guidance” or “shared” decision-making, as these scenarios imply greater complexity. Additionally, offering a “save and return” token will mitigate fatigue while preserving the high-value mandatory data already captured.
Finally, provide visual cues: a progress bar and a count-down message such as “Only 3 required questions left” can sustain motivation without compromising the rigor of the mandatory core.
To configure an element, select it on the form.