Community Engagaement format english

College Code
INS3130
Community Engagement Report

(Title of Work)
Graduation: Management/Science/Commerce/ Arts
Session 2022-23
1. Name of Student…………………………………………………..
2. Class…………………………………………………………………
3. Roll No………………………………………………………………
Name of the organization
(Where the work was
done)
………………………………………………………………………………….
………………………………………………………………………………….
Invigilator/Mentor
…………………………………………………………………………………
………………………………………………………………………………...
Shri Ram College Jabalpur

( Affiliated to RDVV Jabalpur, Govt. of M.P. )
1
Student Declaration Form
I hereby declare, that this Community Engagement Report is

based on the original work done by me, in which the use of
published material has been duly acknowledged. I also declare that
the submitted report has not been submitted for any other
degree/course previously/currently.
Student Names Class Roll Number Sign(with date)
Invigilator/Mentor Approval Letter
Declaration of Invigilator/Mentor
I……………………….. undersigned hereby certifies that the

above mentioned report is a genuine report of the Community work
done by the student under my direction. It is submitted to Shri
Ram College after my approval.
Signature
Invigilator/Mentor Approval Letter
Date…………..
Place……………
2
(After Completion the certificate given by the external organization
on the letter head of the institution).
Organization name and logo

Work Completion Certificate
This is to Certify that of class _
of Shri Ram Colllege successfully completed his/her Community Engagement
work dated _ to in " _ "
at . He/ She have done good/excellent work
during his/her tenure in the organization. We wish him/her a bright future.
With best wishes,
Place…………….. ………………………………
Date……………….. Institution Seal
3
Acknowledgement
Note: - Including the following points as far as possible
1. College Principal
2. Teacher Invigilator
3. Other Professors and other colleagues of the concerned
Subject
4. Head of External Organization and other collaborators
5. Classmates, Relatives and others from whom cooperation

was obtained
Students names Class Roll Number Sign (with date)
Place………….
Date……………
4
Form - G1
Jabalpur, Date……..……..
To
………………………
………………………
Subject: Guidance and information required related to your institute
for Community Work.
Sir/Madam
For college students under Madhya Pradesh Government Higher

Education Department, Bhopal.
Instructions have been given to conduct Community Work and

training/guidance work within the subject.
In this regard your institution/guidance/is important in which our student

want to receive training. Please refer to the attached form regarding the
institution/instructor/business. It is a sincere request to give consent
to provide information and provide training.
Thank You
Attachment Format G2
Principal’s Sign…………………..
Seal………………………………
5
Form – G2
Institution Information and consent letter for Community
Work
1. Name of the institute/trainer/business…………………………………

And registration
2. Nature of the Institution (Private/Govt.)………………………………..
Semi- Govt./ Other
3. Name of the Guidance area of the institute………………………….
(in which the work is done)
4. Various posts under the institute/ ……………………………………
Number of people working
5. Maximum no. of students required……………………………………
Whom the institute can train
6. Organized after training from institute………………………………..
Employment opportunities in the unorganized sector
7. Other Specific Information……………………………………………….
College, by institution/individual guidance………………………..to the
students of Consent to provide training is provided.
Sign and Date

Name of the head of the Institution
6
INDEX
S.NO PARTICULAR PAGE NO.
I.
II.
III.
IV.
Chapter – 1
1.0
1.1
1.2
1.3
1.4
1.5
…………
Chapter – 2
2.0
2.1
……….
……….
……….
Chapter – 3
3.0
……….
……….
……….
Reference List
7
To Form – G3
………………………
………………………
Subject: Community Work/ Training and information related to your institute
/guidance.
Sir/Madam
For college students under Madhya Pradesh Government Higher

Education Department, Bhopal.
Instructions have been given to conduct Community work / Training and

guidance work within the subject.
In this regard your institution/guidance/is important in which our student

want to receive training. Please refer to the attached form regarding the
institution/instructor/business. It is a sincere request to give consent
to provide information and provide training Related knowledge and skills and
the attached feedback form, on the basis of which the student can be assessed
after training
Thank You
1. Feedback Form (Format G4)
2. List of Students for Training
Principal’s Sign…………………..
Seal………………………………
8
Shri Ram College Jabalpur (M.P.)
Feedback Form of Community Engagement Work Form - G4
The Institution of the concerned External body (if any) should be filed by the Chief Authorized
Officer or Guide
Name of Trainee Student : _
College Name : _
Class : _
Sec. & Roll No. : _
S. No. Evaluation base Assigned Assessment Comment

Rang (A/B/C) #
1 Regular Student Attendance

2 Theoretical Knowledge acquired by the student
3 Skills acquired by the student during the tenure,
Practical knowledge
4 Student’s interest towards work, seriousness

5 Student’s attitude towards learning during the
tenure (attitude) and behavior
6 Co-ordination with coworkers, other members, in a

group ability to work
7 Students’ Overall Category #
# Category : A > Excellent, B > Good, C>General
Date : _ Signature of authorized person
Place : Name
Seal
9
Primary Report of Community Work Form A1
(In Self Handwriting, in 500 words)

(First Two Pages of Community
File)
1. Community Scope of Work:

Under this point students will present a summary of their proposed training, in
which details of the broad area of training , the need and the concept of
application will be given.
2. Job Description:
Contents of the task to be learned under the training task Description of the
skill experiment.
3. Details of the concerned workplace/institution(where the work is to be

done):
Give a description of the organization giving training, the nature of the work
place, etc. Give the details of the work to be done under the institute and the
methodology related to the work.
4. Purpose and Relevance:

The goals of the proposed training are to be SMART S-Specific, M-Measurable,
A- Achievable, R- Realistic/Relatable, T- Time Bound. Should
Being specific here means that there should be clear definite objectives and
goals behind the training work. Measurable means that it can be as curtained
whether the objective of the proposed training has been fully/partially
achieved. Ensure the possibility of achieving the target of the actual training
.Along with this, in how much time, in how much time the skill of training can
be achieved, it should also be mentioned in the action plan.
Record in this report about the real life utility, relevance and application of the
proposed skill acquisition.
Completion of the work by the person after the completion of the work.
10
Community Report Form A2
(In Own Handwriting, Minimum in 2000 words)
1. Front Page & Title of Community
2. Student & Invigilator Declaration form
3. Certificate of Declaration of work Completion from Community Organization
4. Acknowledgment
5. Offer Letter (G1 form) from College with Attached G2 form
6. Index
7. Area of Community
8. Detail of Institution
9. Detail of Community work completion
10. Objective /Technique/Procedure/ Function
11. Intended outcome
12. Achieved Outcome
13. Development of Skill & Knowledge
14. Practical Application
15. Conclusion & Planning for Future
16. Attendance Sheet
11
Shri Ram College, Jabalpur
Student's Name _ Father's Name
Class & Section _ Mobile_ _
Title of the Community Work _
_ _
S.NO Date Student's Sign. Institute Head's Sign.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Institution Head's
(Seal & Sign.)

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College Code

Community Engagement Report

Graduation: Management/Science/Commerce/ Arts

Name of the organization

(Where the work was

Shri Ram College Jabalpur

I hereby declare, that this Community Engagement Report is

Student Names Class Roll Number Sign(with date)

Invigilator/Mentor Approval Letter

I……………………….. undersigned hereby certifies that the

Invigilator/Mentor Approval Letter

Organization name and logo

This is to Certify that of class _

of Shri Ram Colllege successfully completed his/her Community Engagement

work dated _ to in " _ "

at . He/ She have done good/excellent work

during his/her tenure in the organization. We wish him/her a bright future.

With best wishes,

Date……………….. Institution Seal

Note: - Including the following points as far as possible

3. Other Professors and other colleagues of the concerned

4. Head of External Organization and other collaborators

5. Classmates, Relatives and others from whom cooperation

Students names Class Roll Number Sign (with date)

Subject: Guidance and information required related to your institute

for Community Work.

For college students under Madhya Pradesh Government Higher

Instructions have been given to conduct Community Work and

In this regard your institution/guidance/is important in which our student

1. Name of the institute/trainer/business…………………………………

Sign and Date

Subject: Community Work/ Training and information related to your institute

For college students under Madhya Pradesh Government Higher

Instructions have been given to conduct Community work / Training and

In this regard your institution/guidance/is important in which our student

1. Feedback Form (Format G4)

2. List of Students for Training

Name of Trainee Student : _

Sec. & Roll No. : _

S. No. Evaluation base Assigned Assessment Comment

1 Regular Student Attendance

4 Student’s interest towards work, seriousness

6 Co-ordination with coworkers, other members, in a

7 Students’ Overall Category #

# Category : A > Excellent, B > Good, C>General

Date : _ Signature of authorized person

(In Self Handwriting, in 500 words)

1. Community Scope of Work:

3. Details of the concerned workplace/institution(where the work is to be

4. Purpose and Relevance:

(In Own Handwriting, Minimum in 2000 words)

1. Front Page & Title of Community

2. Student & Invigilator Declaration form

3. Certificate of Declaration of work Completion from Community Organization

5. Offer Letter (G1 form) from College with Attached G2 form

9. Detail of Community work completion

10. Objective /Technique/Procedure/ Function

11. Intended outcome

12. Achieved Outcome

13. Development of Skill & Knowledge