EXIT THIS SURVEY Exit this survey 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? Freshman Sophomore Junior Senior Graduate Student Other (please specify) * Which Civic Passage project did you just complete? Adoptive and Foster Families of Maine Bangor Area Homeless Shelter Bangor Humane Society Black Bear Exchange Food Drive Challenger Learning Center Crossroads Ministries Eastern Area Agency on Aging Families and Children Together Habitat for Humanity Hands of Hope Maine Audubon Maine Discovery Museum Old Town Recreation Penobscot Special Olympics Penobscot Theatre Ronald McDonald House Ross Manor Seeds of Hope Spruce Run * What was the date of the project you just completed? Project Date MM / DD / YYYY * Did you sign up individually or with a group? Individually As a group * Are you a UMaine Athlete? No Yes * Were you required to participate in Civic Passage or to complete community service? No Yes Next
