Evaluation Form for Service-Learning Students

Semester:

Fall
Spring

Year:

Name:  

Did your service-learning experience help you meet the learning goals of your academic course?

Yes No

Please explain:

Please rate your degree of satisfaction with the following aspects of your service-learning experience where 1 is unsatisfactory and 5 is excellent.

Communication with and support from your faculty sponsor.

1 2 3 4 5

Communication with and support from the service-learning program office.

1 2 3 4 5

Appropriate training from your site supervisor:

1 2 3 4 5

Communication with and support from your site supervisor:

1 2 3 4 5

Level of paperwork and requirements for service-learning:

1 2 3 4 5

What did you find most valuable about your experience this semester?

If you had the opportunity, would you participate in a service-learning project again?

Yes No

Please explain:

How did you benefit from your service-learning experience? Please check all that apply.

Personal Growth and Development

Service-learning increased my:

Self-esteem (sense of personal worth or competence)
Self-understanding (insight into myself)
Sense of usefulness (doing something worthwhile)
Personal power (belief that I can make a difference)
Openness to new experiences

Academic and Intellectual Development

Knowledge of people
Higher level thinking skills (critical thinking, problem solving)
Application of academic knowledge skills to "real life" problems
Skills in learning from experience (asking questions, observing, synthesizing)
Communication skills (listening, providing feedback, articulating ideas)

Social Growth and Development

Concern for the welfare of a broader number of people
Understanding and appreciating people with diverse backgrounds
Skills in caring for others
Likelihood of involvement with community or civic affairs
Knowledge of service-related careers

(Adapted from All the Difference, Supplemental Guide, Dan Conrad, Minnesota Department of Education)

Overall, how would you rate your service-learning experience in this class?

bad poor average fair good

Additional comments:

Thank you for your evaluation and your work this semester!

Charlette Kremer, Director

Lewis-Clark Service Corps