GSCCC Adult Learning Course Evaluation
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1. Course Information

25%

Please enter information about the course that you will be completing this survey on.

Please fill in the below demographic questions: Name:
Troop # or SU Number:
Address:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

Which course are you completing this survey for? Face to Face Introduction Meeting

Volunteer Essentials

Grade Level Toolkit - Daisy

Grade Level Toolkit - Brownie

Grade Level Toolkit - Junior

Grade Level Toolkit - Cadette

Grade Level Toolkit - Senior

Grade Level Toolkit - Ambassador

Journey Toolkit

Stepping Out

Beginning Troop Camping

Backpacking

Trips and Travel

CPR/ First Aid

Leaderama

Other (please specify)

	MM		DD		YYYY
Date:	Please enter date of the course you completed. If you completed an online module, home-study, or tool-kit, please enter the date you completed reviewing the materials. Date: Month	/	Day	/	Year

Please enter the location where you completed the adult learning course:

Name of instructor (If Online Module, Home-Study, or Tool-kit please put N/A):

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