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Student Evaluation Form
Semester of Service
First, we would like some information about you.
What is your age group?
What is your gender?
Name of agency with which you worked during this class.
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Service-Learning Online Orientation:
Did you watch the Service-Learning Orientation video?
If Service-Learning was an option in your class, did it motivate you to participate in Service-Learning?
Did the video do an adequate job of explaining what Service-Learning is?
Did the video do an adequate job of explaining the procedures to get started in the Service-Learning process (i.e.: paperwork)?
Is there anything that you feel the orientation video should cover but did not?
Please Comment below:
Next we would like to gain your perspective about this course. Please mark your level of agreement with each statement.
a. The community service I did helped me to better understand the lectures and readings in this course.
b. The idea of combining work in the community with college course work should be practiced in more courses at this college.
The next set of questions relates to your attitude toward community involvement. Please indicate your level of agreement with each statement.
a. I was already volunteering in the community before taking this course.
c. I felt a personal responsiblity to meet the needs of the community partner.
d. I probably won't volunteer or participate in the community after this course.

b. I feel that the community service I did through this course benefited the community.
Please rate your experience with the organization at which you participated.
a. Helpfulness of agency staff.
b. Adequate orientation/training.
c. Adequate supervison.
d. Meaningful tasks to perform.
e. Valued for my efforts
Please rate the services provided by the staff at the Service-Learning Center.
a. Adequate orientation.
b. Helpfulness and friendliness of staff.
c. Quality of communication with office.
d. The amount of agency information provided.
Did you receive enough help, support and guidance from:

The Service-Learning Staff

The Instructor

The Agency
Comments:
The following questions concern the reflection activities in the course. Please mark your level of agreement with each statement.


a. I think the reflection activities in this class allowed me to explore and clarify my personal values.
b. I think the reflection activities in this class allowed me to explore and clarify my commitment to the community..
c. I think the reflection activities in this class allowed me to explore and clarify my course content.
Please discuss to what extent the reflection activities were a regular part of the course.
Please discuss to what extent the reflection activities were structured with clear directions and guidelines.

Please mark your level of agreement with the following statement:
My Service-Learning experience had at least a moderate effect on the following:
a. Future course selection
b. Improved GPA?
c. Better relationships with faculty members?
d. Desire to stay in college or complete degree?
e. Positive attitude towards programs like this
g. Positive attitude toward Central Piedmont Community College?
h. Improved self-confidence?
f. Positive attitude toward community involvement/citizenship?
i. Sense of personal achievement?

j. Development of occupational skills?
k. Understanding of social/cultural differences?

l. Increased desire to help or care for others?
m. Knowledge of your community?
Finally, what has your Service-Learning experience meant to you?
Thank You For Making A Difference!
Your responses are completely anonymous and answers will not be connected to individual names, but may be used for research purposes. By checking this box you agree that we can use your information.

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