Service Learning Data Reporting

Data collected in this form is used to report and share student service learning data for the UTA Campus. Required information is starred; all other information is optional.

If you don't have the exact number of students and/or hours, provide your best estimate.

Please use one form for each service learning course number when possible.

1BASIC INFORMATION > 2DETAILS ON SERVICE LEARNING COURSE > 3PLEASE REVIEW BEFORE PUSHING "SUBMIT"
Name Name First Last
School/College

School/College Liberal Arts Business Social Work Education CAPPA Science Engineering Nursing Honors Student Success
Department/Center
Email
Are you (check all that apply):

Are you (check all that apply): Tenured Tenure-track APT Faculty Staff Who Also Teach a Course Full-time Part-time Other Other
Data Reporting Period

Data Reporting Period Fall 2021 Spring 2022 Summer 2022 Fall 2022 Spring 2023 Summer 2023 Fall 2023 Spring 2024 Summer 2024 Fall 2024 Spring 2025 Fall 2025 Other Other
Service Learning Course Name
Course Number
Section Number(s)
Does your course contain and identify one (or more) of the 17 United Nations Sustainable Development Goals? https://sdgs.un.org/goals

Does your course contain and identify one (or more) of the 17 United Nations Sustainable Development Goals? https://sdgs.un.org/goals Yes No Not sure about this Other Other
If it does include an identified UN SDG sustainability component, which one(s)?

If it does include an identified UN SDG sustainability component, which one(s)? No Poverty Zero Hunger Good Health and Well-Being Quality Education Gender Equality Clean Water and Sanitation Affordable and Clean Energy Decent Work and Economic Growth Industry, Innovation and Infrastructure Reduced Inequalities Sustainable Cities and Communities Responsible Consumption and Production Climate Action Life Below Water Life On Land Peace, Justice and Strong Institutions Partnerships for the Goals
Do you encourage and/or allow your students to use AI with their service learning project and/or with the community partner?

Do you encourage and/or allow your students to use AI with their service learning project and/or with the community partner? Yes No Yes, it is required Other Other
If so, how?
No Service Learning Data to Report (check all that apply)

No Service Learning Data to Report (check all that apply) Did not teach course Taught course but did not include service learning No longer teach this course No longer teach course with service learning
Total NUMBER OF STUDENTS who engaged in SERVICE LEARNING in this course
Total of all SERVICE LEARNING HOURS engaged in by your students in this course
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