2010-2011 Learn & Serve Challenge Registration Survey

1. 2010-2011 National Learn & Serve Challenge Registration

Thank you for accepting the 2010 National Learn & Serve Challenge. We appreciate your interest in and commitment to expanding service-learning in your local school or community.

1. I am interested in participating in the Challenge as one of the following:

I am interested in participating in the Challenge as one of the following: Individual

Classroom

Club or youth group

School (3 or more participating classes)

School district

College campus or university

Community-based organization

Native American Tribe/Territory

Community-wide initiative

Other (please specify)

*
2. I work primarily with young people in the following age range(s) (check all that apply):

I work primarily with young people in the following age range(s) (check all that apply): Elementary age youth (K-5th grades)

Middle school age youth (6-8th grades)

High school age youth (9-10th grades)

College age youth (ages 18-24)

*
3. Contact information for School/Group/Organization/Community

Contact information for School/Group/Organization/Community Contact Name:
Group/School/Org Name:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

4. Website:

Website:

5. Set a goal to increase the number of service-learning opportunities available for young people in your school or community. How many people do you plan to engage in service-learning in your school and/or community during the 2010-2011 school year?

Set a goal to increase the number of service-learning opportunities available for young people in your school or community. How many people do you plan to engage in service-learning in your school and/or community during the 2010-2011 school year? K-5th Grade Youth:
6th-8th Grade Youth:
9th-12th Grade Youth:
College Age Youth:
Teachers:
Community Partners:

6. How did you hear about the Learn & Serve Challenge? (select all that apply)

How did you hear about the Learn & Serve Challenge? (select all that apply) American Association of Community Colleges

American Association of State Colleges and Universities

America's Promise Alliance

Camp Fire USA

Campus Compact

Corporation for National & Community Service

DECA

National Alliance of Faith and Justice

National Education Association (NEA)

National PTA

National Service-Learning Clearinghouse

National Service-Learning Partnership

National Youth Leadership Council

Service-Learning United Email or Website

SEANet

Voices for National Service

Youth Service America

Other (please specify)

2010-2011 Learn & Serve Challenge RegistrationExit this survey