Earth Ethics Institute Service-Learning Pre Survey 2016-17
Check out our complete list of service opportunities on our website here:

http://www.earthethicsinstitute.org/Students_ServiceLearning.asp

First Name
Your answer
Last Name
Your answer
MDC ID#
Your answer
Email
Your answer
Phone Number
Your answer
What MDC campus do you attend?
MDC Anticipated Graduation Date
Month and Year
Your answer
Course Number + Title:
Please provide the course number of the class you are completing service-learning for. (Example: INR 2002, International Relations). If you are volunteering independently without a class, please put 'Individual.'
Your answer
Professor Name:
Your answer
How many hours are you required to complete this semester?
Your answer
What areas are you interested in doing your service in?
Check all that apply.
Required
Have you participated in community service prior to this semester?
Have you ever participated in an Earth Ethics Institute service-learning project?
If so, please indicate year, semester, and project.
Your answer
What is your availability?
Please indicate day of the week and time (for example, Tues 10-11:30, W afternoon...), and if you are available on weekends.
Your answer
Do you have a mode of transportation for off-campus events?
I have a strong understanding about our local food system, community social justice, and environmental issues.
I believe service-learning will have a positive effect on my college experience.
I believe that service-learning can introduce me to new career paths and opportunities.
I believe that volunteering and service-learning can make a difference in my community.
I believe that becoming part of a learning community or peer support group will help me make college friends.
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