Maricopa Learns Through Service Program Evaluation

To assist us in evaluating this program, please complete the following questionnaire. The first three items refer to your learning outcomes as described in the Placement Form completed at the beginning of your participation in the program. Please fill in your stated learning outcomes and then select the statement best describing your level of knowledge or skill in each area before and after your participation in MLTS

Your responses will remain confidential and will only be evaluated by the program coordinator. Thank you for taking your time to complete this survey. Your opinion is very important to us!

Question Title

* 1. Please fill out the following fields:

Name:

Email:

Question Title

* 2. Please specify what your four learning outcomes were.

Learning Outcome 1

Learning Outcome 2

Learning Outcome 3

Learning Outcome 4

Question Title

* 3. Please rate your learning outcomes.

	Level Before Participating?	Level After Participating?
Learning Outcome 1	Learning Outcome 1 Level Before Participating? menu	Learning Outcome 1 Level After Participating? menu
Learning Outcome 2	Learning Outcome 2 Level Before Participating? menu	Learning Outcome 2 Level After Participating? menu
Learning Outcome 3	Learning Outcome 3 Level Before Participating? menu	Learning Outcome 3 Level After Participating? menu
Learning Outcome 4	Learning Outcome 4 Level Before Participating? menu	Learning Outcome 4 Level After Participating? menu