Taking a few minutes to complete this form will provide valuable information for Newberry College and the
Values Based Learning Program as we continue to promote the use of service learning as part of the
civic engagement mission of our university and as an important teaching and learning tool for our courses.
Name of Faculty Member ____________________________ Department __________________
Course Name and Number___________________________ Number of Students______
Community Sites Used ___________________________________________________________
............................................................. Strongly...Agree . Neutral . Disagree..Strongly
................................................................................... agree .......................................... disagree
course helped students to see how the
subject matter they learned can be used
in dealing with community issues.
2. The service learning component helped ____ ____ ____ ____ ____
students better understand the
lectures and readings in the course.
3. The service learning component had a ____ ____ ____ ____ ____
positive effect on class discussion.
4. The service learning component helped ____ ____ ____ ____ ____
students think about what citizenship is.
5. The work that students did benefited ____ ____ ____ ____ ____
the community.
6. Overall, the use of service learning in ____ ____ ____ ____ ____
this course improved the course.
7. The use of service learning has opened
new research possibilities for me. ____ ____ ____ ____ ____
8. I was pleased with the community sites ____ ____ ____ ____ ____
where my students served.
9. In what ways did you incorporate the service into the activities of the course? Check all that apply.
___ papers
___journals
___class discussion
___tests
___student presentations
___chat room
___other ways (please specify) ____________________________________
10. Did you use the Values Based Learning Program Office in any of the following ways? Check all that
apply.
____ to help me find placement sites for students
____ to sign students up for service
____to supply forms (e.g., sign-up, liability, time sheet, evaluation forms)
____to come to class to provide orientation
____other ways (please specify)_________________________________
11. If you used the VBL Office in planning or implementing your service-learning
component, how would you rate the assistance?
____excellent ____good ____fair ____poor ____did not use the Department
12. Are you willing to serve as a resource for other faculty members who are considering integrating
service learning into their courses? ____ Yes ____ No
13. We would appreciate any comments you care to add about your service-learning experience or the
VBL Office. (With your permission, we may quote you in our publications.)
______________________________________________________________________________
______________________________________________________________________________
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Thank you! Please return this form to: the Values Based Learning Program, 318 McClurg.