Service-Learning Classroom Experience
Email address *
Start Date of Experience *
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DD
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YYYY
End Date of Experience *
MM
/
DD
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YYYY
Course Name *
Your answer
Instructor's Name *
Your answer
Community Partner Site *
Your answer
Description of Activity *
Your answer
Critical Concern addressed by service: *
Total Number of MMU individuals involved *
Your answer
Total Number of Hours Served by Individual *
Your answer
Total Number of Hours Served By Faculty or Staff *
Your answer
Total Number of Hours served by all MMU related participants *
Your answer
If Fundraiser: How much money was raised? Please indicate total US Dollar ($) *
Your answer
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
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
learn about people different from myself
critically reflect upon my own values and biases
understand how communities work or function
understand how course material relates to real life settings
develop a greater awareness of societal problems
Row 6
develop a greater sense of personal responsibility
reconsider many of my former attitudes
perform better services for others
strengthen my ethic of social and civic responsibility
become more sensitive to the hardships and needs of others
increase my curiosity about others groups with whom I have not had direct experience
understand myself more fully
think about different fields I may want to work in
consider future volunteering (at MMU, and beyond)
relate knowledgeably and sensitively to persons of different cultural perspectives
demonstrate more sensitivity to how decisions are made and how institutional decisions affect people's lives
learn how to work more collaboratively with other people on real problems
realize that my life can make a difference
How have you benefited from your experience: (personally, academically, and professionally)? *
Your answer
How did this service experience affect your classroom experience? *
Your answer
Would you recommend the service-learning project to other students? *
Your answer
What changes to the service-learning project would you recommend for the future? *
Your answer
Compared to regular classes, in this course I please: *
Other comments or feedback including list of individuals involved: *
Your answer
Name *
Your answer
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