Student Service-Learning Evaluation

Name___________________________________________________________________

Agency where you completed your service work:

________________________________________________________________________

Please rate your experience at the agency where you completed your service work using the following scale:

5-Very satisfied 2-Very dissatisfied

4-Satisfied 1-Not applicable

3-Dissatisfied

Orientation and training by the agency __________

Adequate work supervision by supervisor __________

Helpful agency staff members __________

Meaningful work related to my learning plan __________

My overall rating of my service learning experience __________

What were your most significant personal outcomes from this experience?

________________________________________________________________________

Comments:_______________________________________________________________

________________________________________________________________________

Direct feedback to: Randy Kimmens
URL: http://www.gc.maricopa.edu/servicelearning/evalform.htm
Last update: Thursday November 02 2000