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SCSU Student Community-Based Learning Questionnaire– Spring 2011

[All answers should pertain to only the community-based learning experience for this specific course during spring 2011.
Use the Scantron sheet for the multiple choice questions and use this sheet to provide open-ended responses. Choose only
one answer per question, except where indicated. Thank you for your feedback!]

Instructor___________________________________                           Student ID #:______________________

Community Agency/Site_______________________                            Course #:________________________
                                                                                      (E.g. ENG 191)
1. Student Status?
  A. Freshman           B. Sophomore C. Junior          D. Senior          E. Other#:_____________________

2. Choose the form of community-based learning best describes your experience in this class.
     A. Service-Learning         B. Field Experience  C. Volunteering        D. Community-based research
     E. Other (please specify) ___________________________________________________________

3. Prior to this course, have you engaged in community-based learning while a student at SCSU?
      A. Yes               B. No         C. Uncertain

4. Engaging in community-based learning for this class was
     A. Mandatory            B. Optional

5. Number of hours you contributed to fulfill the community-based learning project this semester.
     A. 1-10                   B. 11-20                C. 21-30                 D. 31-40          E. More than 40

6. This course experience has:
     A. enabled me to continue to see a value in community engagement that I already possessed.
     B. enabled me to see a value in community engagement that I did not possess before.
     C. not affected my ideas about community engagement.
     D. negatively affected my ideas about community engagement.
     E. Other______________________________________________________________________________________

7. The community-based learning element in this course:
     A. helped me learn more than I thought I would.
     B. did not affect my learning.
     C. resulted in learning less than I thought I would.
     D. Other_______________________________________________________________________________________

As a result of your participation in this community-based learning experience:

8.   Will you engage in some form of community service after you complete this course?
     A.Yes              B.No           C. Undecided

9.   Do you feel more connected to the community in which you engaged?
     A.Yes             B.No             C. Undecided

10. Are you more aware of the needs of the community in which you engaged?
    A. Yes            B. No          C. Undecided

COMMENTS:

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Use assesstoolstogaugesl outcomes.3.scsu

  • 1. SCSU Student Community-Based Learning Questionnaire– Spring 2011 [All answers should pertain to only the community-based learning experience for this specific course during spring 2011. Use the Scantron sheet for the multiple choice questions and use this sheet to provide open-ended responses. Choose only one answer per question, except where indicated. Thank you for your feedback!] Instructor___________________________________ Student ID #:______________________ Community Agency/Site_______________________ Course #:________________________ (E.g. ENG 191) 1. Student Status? A. Freshman B. Sophomore C. Junior D. Senior E. Other#:_____________________ 2. Choose the form of community-based learning best describes your experience in this class. A. Service-Learning B. Field Experience C. Volunteering D. Community-based research E. Other (please specify) ___________________________________________________________ 3. Prior to this course, have you engaged in community-based learning while a student at SCSU? A. Yes B. No C. Uncertain 4. Engaging in community-based learning for this class was A. Mandatory B. Optional 5. Number of hours you contributed to fulfill the community-based learning project this semester. A. 1-10 B. 11-20 C. 21-30 D. 31-40 E. More than 40 6. This course experience has: A. enabled me to continue to see a value in community engagement that I already possessed. B. enabled me to see a value in community engagement that I did not possess before. C. not affected my ideas about community engagement. D. negatively affected my ideas about community engagement. E. Other______________________________________________________________________________________ 7. The community-based learning element in this course: A. helped me learn more than I thought I would. B. did not affect my learning. C. resulted in learning less than I thought I would. D. Other_______________________________________________________________________________________ As a result of your participation in this community-based learning experience: 8. Will you engage in some form of community service after you complete this course? A.Yes B.No C. Undecided 9. Do you feel more connected to the community in which you engaged? A.Yes B.No C. Undecided 10. Are you more aware of the needs of the community in which you engaged? A. Yes B. No C. Undecided COMMENTS: