Ann 2015-2016

OKelley Wetmore
Janet Hubbard

EWU ONLINE BSDH

SERVICE LEARNING
MONOGRAPH
DNHY 490S Dental Hygiene Capstone

DNHY 490S Dental Hygiene Capstone Service Learning Project

Project Description
The goal of this project is to provide students with an online or face-to face opportunity to
demonstrate a culmination of learning experiences through completion of a community-based
service-learning project. The service-learning project also affords an opportunity to
demonstrate competency in Education, Leadership, Humanities, Liberal Arts, Business, and
Community Health that may not be well documented through other academic coursework. This
type of civic engagement affords the opportunity for a first-hand experience in a field setting.
With mentorship, students work alongside other community minded professionals who face and
solve real world problems every day. Weekly blogs with guided questions offers potential for critical
thinking and reflective thought. Each student must complete a satisfactory service learning
experience in order to fulfill the Online BSDH Degree Completion program requirements .
The faculty, Program Director, and EWU will assist you, but the student retains the final
responsibility.

Student Service Learning Project Timeline

Students are expected to demonstrate completion of a minimum of 40 hours of service
learning in order to complete the DNHY 490S Dental Hygiene Capstone
Assignment Criteria

Submission Point

Due Dates

Complete Module 1 on Civic Engagement in

CANVAS

CANVAS

Module 1

Contact an Organization in your community or use

one of the resources listed under the Service
Learning Tab in the Left Menu
Use the Site Supervisor Checklist as guide.

CANVAS

Module 2

Submit Signed Learning Agreement Form

Eaglesync

Module 3

Submit Acknowledgement of Hazards and Risk

Form

Eaglesync

Module 3

Post Weekly Blog and Submit via CANVAS

CANVAS

Submit hours service-learning performed

(self-reporting) *
DNHY 490S DH Capstone: ServiceLearning Project Time Sheet
Submit Midpoint Review **
Peer Review in Discussion Board
Submit Site Supervisor Evaluation
Submit Service Learning Evaluation
Submit Final Service-Learning Project

CANVAS &
Eaglesync

Weekly by Monday at
midnight
Weekly by Sunday at
midnight

Time Sheet
Document Project in Eportfolio

Eaglesync
CANVAS
Eaglesync
Eaglesync
CANVAS &
Eaglesync

Module 7
Module 14
Module 15
Module 15
Module 15

Livetext

Module 15

*Students submit hours via EagleSync and keep a hard copy using the form attached in
EagleSync
** Students submit Mid Semester Review via EagleSync and keep a hard copy using the form in
Eaglesync

Weekly Blogs
A blog is a web based log or journal. In the Online BSDH curriculum students will create a blog
using a WORD document instead of a personal website. Students can use the following page to
develop their personal blog page. Weekly guided questions are posted. Students can use the Insert
Tab in WORD to add pictures, clipart, WordArt and other artifacts to personalize their blog
document. The Page Layout Tab provides access to borders and colors. Students can use fonts and
color as well as Table Layout and Design. Creativity is encouraged and demonstrates knowledge of
MS Word as well as critical thinking and individuality. Have fun!
Student Name
Course Name/ Number and Section ID
"Your blog post should be an exercise in reflection where you describe what " it" is,
reflect on "it "and what knowledge you gained, and then the next step to being a critical reflector
is to commit to using the knowledge gained from the "it" in the future."
Blog 1
Define civic engagement. What does it mean to you? How does it relate to your
previous learning experiences? How do you see civic engagement in your
future?
DUE: August 31, 2015 by midnight
Blog 2
Choose a quote about leadership and write about how this quote is meaningful to
you as a leader. Relate to your chosen Capstone Service Learning Project.
DUE: September 7, 2015 by midnight
Blog 3
What challenges did you encounter in completing your service-learning contract?
What skills helped you successfully complete the contract? How will you use
these skills in the future?
DUE: September 14, 2015 by midnight
Blog 4
How does your knowledge of business and the community impact your service
learning experience? What skills do you need to utilize in order to add to the
fiscal success of your project? How will these skills help you in the future?
DUE: September 21, 2015 by midnight
Blog 5
Consider the role of communication in your service learning project? What skills do
you need to utilize in order to work effectively and communicate effectively
with your site supervisor? What course work or previous knowledge enables
you to be successful? How will you use these skills in the future?
DUE: September 28, 2015 by midnight
Blog 6
Considering your personal timeline goals how does your service learning project
impact your abilities to achieve your goals?
DUE: October 5, 2015 by midnight
Blog 7
What are some of the challenges you have experienced in working with others
involved in your project? Has your education and experience prepared you to
deal with these challenges?
DUE: October 12, 2015 by midnight
Blog 8

Please reflect on the experiences you have had in developing your appreciation for
the humanities and fine arts. Describe how you felt before you began your
BSDH and how your new knowledge has affected you. Be sure and use these

Blog 9

Blog 10

Blog 11
Blog 12

Blog 13
Blog 14

Blog 15

thoughts as you complete your Capstone.

DUE: October 19, 2015 by midnight
What principles from the BSDH urriculum have you employed during your project?
In retrospect, are there areas of study you think should have been presented
to better prepare you for this experience?
DUE: October 26, 2015 by midnight
What skills, talents, and passions have you personally brought to this servicelearning project? How do you intend to build upon these assets in the future?
Do not be bashful please share.
DUE: November 2, 2015 by midnight
Post an update of your Capstone project. Do you think the project you are involved
in will make a positive impact in your community? If so, how?
DUE: November 9, 2015 by midnight
Use this weeks content and the article in Week 6 on ethical principles to gather
thoughts on how service learning relates to business ethics. What role does
the dental hygienist play in ethical decision making? What influence have
you had in an ethical/moral dilemma? Relate your experiences to your
learning in the BSDH program. How do you see your gained knowledge
influencing your future ethical decision making process?
DUE: November 16, 2015 by midnight
FREE BLOG! HAPPY THANKSGIVING!
Reflect on how the elements of your Capstone Service Learning Project provided
you an opportunity to grow as a professional. Has the project gone as you
expected? What particular experience was the most meaningful and will
provide you with skills or knowledge to use in your future fulfilling one of
the roles of the dental hygienist. In retrospect, what would you have done
differently, if anything? Please feel free to be honest - some of our best
learning comes from our stumbles in life.... thanks for all your hard work..
DUE: November 30, 2015 by midnight
This Capstone course was designed to mirror more of a bachelor level thesis.
Meaning, the student's role was to take what they have learned in the entire
curriculum and create their own project to show they have earned the right to
receive the BSDH degree. The professor's role is to guide, encourage, and
provide resources, etc. through the journey, not to tell the student what or
how to create their project. Keeping this in mind, please reflect on what and
how the course has contributed to your personal perception of
professionalism and growth as an independent and/or autonomous person,
and how you will use the knowledge gained in this course in your future
endeavors. Please identify the areas of the course that added the most to your
learning. What areas or parts of the course would you change?
DUE: December 7, 2015 by midnight

Required Forms
All forms required for this project are linked in the DNHY 490S Dental Hygiene Capstone
CANVAS course. Some forms are completed by the student and some by the community

partners.Students and community partners use the links to the forms and submit through the
EagleSync Online Portal.
Listed below are all of the forms necessary for the Dental Hygiene Capstone Service
Learning Project. Most are in .pdf format and can be completed electronically via Eaglesync.
They are attached to this document for your reference.
1. Site Supervisor Checklist (Due Module 1 for the Professor to track your progress)
2. Service Learning Agreement Form EagleSync
3. Acknowledgement of Hazards and Risk EagleSync
4. Weekly Student Time Sheet/ Submit Hours Online EagleSync (Due Weekly)
Students will also use the DNHY Weekly Time Sheet to track hours, scan, and
submit through CANVAS.
5. Mid-Point Review (Due Module 7)
(Community Partner through EagleSync; Student is responsible for informing
community partner of email regarding Mid-Semester Evaluation)
6. Site Supervisor Evaluation (Due Module 15) (Community Partner through EagleSync;
Student is responsible for informing community partner of email regarding the final
evaluation)
7. Service-Learning Evaluation EagleSync ( Due Module 15)
(Student through Eaglesync)

EagleSync Portal
The first step to starting your service-learning project is joining OrgSync. To do this you
will go to the following address: www.orgsync.com
Once here you will click Sign Up
Then you will be prompted to Choose Your Community. In the space provided, type
Eastern Washington University.
From there you will be sent to the Eastern Washington University OrgSync Page.
If you already have an account, click Sign in with Campus ID and enter your Net ID
and Password.
If you do not have an account, click Create a new OrgSync account and fill out the
required information to create your profile.
Prezi presentation at: Choose EagleSync Instruction
https://orgsync.com/login/eastern-washington-university

Online BSDH Degree

Completion
Service-Learning Project Learning
Agreement
Student Name:

Local Address:
Local Phone:

Student e-mail:

Instructor:

Phone Number:

Site (agency or organization):

Supervisor Name:

Email:

Supervisor Phone Number:

Days and times student will be at agency:

What is Service Learning?

Service Learning is a teaching approach integrating academic instruction with
community service that engages students in civic responsibility, critical and creative
thinking, and structured reflection.
This Service-Learning Project LEARNING CONTRACT is designed to:

Assist the student and agency in understanding the learning objectives for the course;
Clarify the activities in which the student will be involved at the agency in relation to

the learning objective;

Insure that both the student and the agency are aware of their responsibilities as
partners in the service-learning project.
Course Learning Objectives (see syllabus)
1.
2.
3.
4.

Agency Objectives and/or Activities (Agency and student should collaborate to meet course
objectives)

1.
2.
3.
4.

Integration Plan (How will you, the student, connect your activities at the agency to your
course content and vice versa?

1.
2.
3.

What do you as a student hope to learn during this experience? (Personal Learning
Objectives)

FINAL AGREEMENTS:
I agree to honor the minimum commitment required for the service-learning option in my
class, as well as any of the additional training and/or time requirements of my service-learning

site as detailed by the course syllabus and the agency/school representative. I also agree to
contact my professor should I have any concerns about my service-learning project.
Student Signature:

Date:

I agree to provide adequate training and supervision for the service-learning student, to plan
activities for the student within the agency which meet the stated learning objectives for the
student's course, and to complete necessary service-learning forms by due dates (learning contract
and final evaluation). I also agree to contact the professor directly should I have any concerns
about the service-learning project or student.
Agency Signature:

Approved by:
Professors Initials

Date:

Service Learning Liability and Acknowledgment of Risk

Thank you for your commitment to serving the community. It is our hope that
this will be a rich educational experience for you, as well as a productive time for the
people whom you will serve. To that end, as you enter the community in the context of
an Eastern Washington University Service Learning Project, you assume a number of
responsibilities. Your signature below indicates that you have been informed of these
responsibilities, hazards, risks and EWU policies.
Confidentiality: Professionals in many fields are obligated to maintain
confidentiality between themselves and their clients or patients. You may not use
specific names in any reflection on your experience without explicit written permission.
If you plan to use photography, please speak to your supervisor for permission and
complete a photography release form (available from the Community Engagement
Office).
Observing Unethical or Illegal Conduct: While participating in the project, you
may witness or hear about something (e.g., child abuse) that is illegal or immoral.
Because of the confidentiality rules mentioned above, decisions about what to do may be
complex. The one essential rule is this: do not try to solve the problem yourself. Instead,
consult with the site supervisor and notify the Director of Community Engagement.
EWU Student Code of Conduct: While participating in the service learning
project, you must conduct yourself in a manner consistent with the EWU Student
Conduct Code, the EWU General Conduct Code and EWU policies . The EWU
Student Conduct Code is available on request.
EWU Service Learning Orientation: The EWU Service Learning Orientation
has been provided to assist students in understanding the purpose, policies and
procedures for students engaged in service learning at EWU.
Informed Acknowledgement of Hazards and Risks

I hereby acknowledge and certify the following is a legally binding

Acknowledgement of Hazards and Risks. I am aware that I may be exposed to hazards
and risks by participating in a Service Learning Project.
I understand that I should not participate unless I am physically and emotionally
able. I certify that I do not have any medical, physical or emotional impairments,
conditions or concerns which may inhibit my participation in such activities. I also
understand that I must inform faculty or other individuals who are in charge of this
activity of any relevant physical/psychological condition which may affect or limit my
ability to participate.
I acknowledge that I am responsible for insurance coverage in the event that I am
injured and I acknowledge that EWU does not provide any medical and/or hospital
insurance of any kind that will cover me while participating in these activities. I further
acknowledge that EWU strongly recommends that I personally obtain insurance coverage

in case of any injury or damage sustained or caused resulting from participation in EWU
Service Learning Project.
EWU provides opportunities to participate in Service Learning Projects. EWU
has taken reasonable steps to provide appropriate equipment and skilled and trained staff
to effectively manage the risks associated with these Service Learning Projects.
I acknowledge the importance of understanding the risks and hazards associated
with the activities in which I participate.
I certify that I have carefully read and understand the contents of this Service
Learning Liability and Acknowledgement of Risks.
I further certify that I am age 18 or over, or if not, that my parent or legal
guardian makes these promises on my behalf, and that I voluntarily choose to
participate having been fully informed of the potential risks, hazards and
responsibilities of participating in the program.
Participant Signature Date Parent/Guardian Signature Date
Participant Printed Name Parent/Guardian Printed Name
Participant Street Address Parent/Guardian Address

Emergency Contact(s): Person to whom EWU may release

information regarding your participation in the Program before, during, and
after.
Name Relationship
Street Apt #
City State Zip Code
(
)
Phone

(
)
Day Phone Evening

Name Relationship
Street Apt #
City State Zip Code
(
)

Phone

Day Phone Evening

I authorize EWU to release information regarding my participation in the

Program before, during, and after my absence to the above stated emergency
contact(s). This information includes, but is not limited to:
Medical Information
This consent is a waiver of my rights under the Federal Educational Records Privacy Act.
Signature

Date

SERVICE-LEARNING STUDENT TIME SHEET

Practicum
Activities

ours

Brief Description of Activities

Page of

Page of

EWU DNHY Site Supervisor Student Evaluation

The purpose of this form is to identify a students strengths and limitations. This form should be completed in
conjunction with review of the students learning objectives. As a supervisor for the student service-learning
experience, you provide a critical part of the students professional training. Therefore, your comments on the
students preparation and performance are strongly solicited and greatly appreciated.
Check the number that best reflects your rating of the characteristics you observed in the student as:
3 Above expectations exceeds expectation at current point in supervised practice, took extra initiative or
demonstrated creative approaches to the situation;
2 Satisfactory meets requirements for current point in training;
1 Needs improvement needs improvement to reach expected level of competence.

*Your comments and observations are of value Thanks!

C
riteria
Dependability
Follows Policies and Procedures
Projects and problems identified and
follows through with appropriate detail
Prompt
Professionalism
Promotes a positive image
Team Member
Able to express feelings and/or
professional judgment without
hesitation or anxiety
Respects the rights of self and others
Responsive to others needs as well as own
Cooperation with others evident
Judgment
Seeks out information prior to making decisions
Demonstrates ability to make appropriate decisions
Knows when and how to react
Demonstrates progression towards
independence throughout project

Comments

Verbal Communication
Speaks clearly and distinctly with proper grammar
Uses professional level of vocabulary
Listens attentively; provides appropriate feedback
StrivesAto
ccinitiate
eptancecommunication
of Feedback
Invites and accepts constructive criticism

Utilizes suggestions to improve work

Adaptability
Flexible
Demonstrates a positive attitude toward new
assignments, change and adversity

Application of Research
Shows curiosity and enthusiasm for learning
Demonstrates abilities as a critical thinker
to address problems

Identifies and utilizes resources independently

Organizational Skills
Sets realistic goals

Makes effective use of time and

resources to meet goals and deadlines

Repots to the site well prepared

Student Performance/Competencies
Demonstrated analytic/assessment skills

Demonstrated cultural competency skills

Demonstrated leadership and systems

thinking skills

Site Supervisor Experience:

From your experience as the students site supervisor did you feel prepared?

Were you able to integrate the students project into other work and tasks?

Were you clear about the goals of the project?

Were you able or authorized to address issues with the student, if any had come
up?
What more could the Faculty Advisor do to support you in your role as site
supervisor?
Overall, was this a worthwhile experience? Would you be willing to do it again?

Site Supervisor:
Practicum Dates

Student:
From:

To:

Please complete this evaluation with the student. Return the evaluation to: Name
and address of faculty advisor to be inserted.
3

Documenting Capstone Service Learning Project

Besides the weekly reflective blogs, the electronic portfolio is a means by which the
student demonstrates competency in the BSDH Capstone Service Learning Project. Students
should post artifacts, with reflection (they may choose to use one of their blogs) to support their
service learning experience. Students are encouraged to collect all documentation and artifacts
related to this course and save them in an online file. It may be helpful to identify files and
folders concerning BSDH Capstone in organizing documentation.
Artifacts that prove competency include collection of work samples, such as digital
video, digital pictures, PowerPoints, evaluations, self-assessments, reflections, and other
documents that demonstrate competence in each of the required learning experiences. A good
idea is to be well versed in video and photo and use these as well as simple podcasts to
documents their service learning experiences. Artifacts and reflections should demonstrate
growth and understanding in the importance of civic engagement as a professional. Personal and
professional growth should be documented in the portfolio.