16-17 Service-Learning Hours Reporting Survey

This data is necessary for grants and annual reports for Clarke University

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* 1. Faculty first and last name:

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* 2. Name of course and course number (NURS 111 Perspectives on Nursing - Section 1):

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* 3. Semester and Year of Course (ex. Fall 15):

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* 4. Number of students participating in Service-Learning through coursework:

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* 5. Number of hours for each student participating in Service-Learning through coursework:

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* 6. Total number of service-learning hours completed by your students:

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* 7. Name(s) of organization(s) where Service-Learning took place (ex. Multicultural Family Center):

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* 8. Thank you for filling out this survey. If you have any questions or comments, please enter below, or contact Brooke Pasker at brooke.pasker@clarke.edu.

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