Service-Learning Classroom Experience
Email address *
Name *
Start date of experience *
End date of experience *
Course name *
Instructor's name *
Community partner *
Description of activity *
Critical concern addressed by service: *
Total number of hours you served *
What type of reflection was used for your service experience? *
Did you find this kind of reflection beneficial? *
Please evaluate the following questions: This experience helped me: *
Strongly Disagree
Strongly Agree
Not Applicable
learn about people different from myself
become more sensitive to the hardships and needs of others
increase my curiosity about other groups with whom I have not had direct experience
learn how to work more collaboratively with other people on real problems
develop a greater sense of personal responsibility
realize that my life can make a difference
critically reflect upon my own values and biases
understand how communities work or function
develop a greater awareness of societal problems
understand how course material relates to real life settings
think about different fields I may want to work in
How did this service experience affect your classroom experience? *
What changes to the service-learning project would you recommend for the future?
If Fundraiser: How much money was raised? Please indicate total US Dollar ($)
Other comments or feedback
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