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Civic Passage Post-Assessment

1. Demographic Information

25% of survey complete.

* Please answer the following questions:
(Note: Your phone number will only be used to contact you about last minute changes to trips. It will not be used outside this program)

Name:

Email Address:

Phone Number:

* Gender

Male

Female

* Please enter your age

Age

* What is your class standing?

* Which Civic Passage project did you just complete?

* What was the date of the project you just completed?

Project Date

MM /

DD /

YYYY

* Did you sign up individually or with a group?

* Are you a UMaine Athlete?

* Were you required to participate in Civic Passage or to complete community service?

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