1. Student & Course Information

33% of survey complete.

Thank you for your service and commitment in completing this evaluation form for the service learning student. This learning site supervisor evaluation form is to measure the student's participation in service learning assignment at your community agency. Please take a few minutes in completing and submitting this form. For further assistance, please contact Community Engagement at (818) 677-7395 or commengage@csun.edu

* 1. Student's Name (First & Last Name):

* 2. Community Agency:

* 3. Learning Site Supervisor (First & Last Name):

* 4. Evaluation Period:

* 5. Number of Hours Completed:

* 6. Course Number & Title (i.e. SOC 150 - Intro to Sociology):

* 7. Professor's Name (First & Last Name):

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