Partner Service Learning Survey:Individual Student

Thank you for partnering with UTA faculty and students on the service learning project. We would greatly appreciate any feedback you could give, as this will help improve our process and the experiences we offer our students.

First Name
Last Name
Organization/Agency
Email
Phone
Which issues do college students who serve at your organization address? Please mark ALL that apply:

Which issues do college students who serve at your organization address? Please mark ALL that apply: Addiction Animals Crisis Response/Assistance Cultural Awareness Disabilities Domestic Violence Education/Literacy Environmental Family Asset Building Food/Nutrition/Hunger Healthcare HIV/AIDS Homelessness Housing Immigrant/Refugee Incarcerated Youth/Adults Low-Income Assistance Mental Health Music/Performing Arts Parks & Gardens Recreation/Sports/Fitness Seniors/Elders Unemployment Urban Planning Visual Arts Vulnerable Youth Workforce Development Youth Asset Building Other
Approximately how many UTA students have served in your organization over the past year?

Approximately how many UTA students have served in your organization over the past year? 1-5 6-10 11-25 26-50 More than 50
How many constituents, clients, or students do you serve annually?
Name of Professor you worked with
UTA Course Name and/or description
Student Service Project Start Date Student Service Project Start Date / MM / DD YYYY
Student Service Project Start Date Student Service Project Start Date / MM / DD YYYY
Project Details
Please rate your level of satisfaction with the student’s performance at your agency while doing the service learning project this semester:
Adhered to the agency's rules and policies.

Adhered to the agency's rules and policies. Excellent Good Fair Poor Unacceptable
Reported as scheduled.

Reported as scheduled. Excellent Good Fair Poor Unacceptable
Attended to tasks assigned to him/her.

Attended to tasks assigned to him/her. Excellent Good Fair Poor Unacceptable
Was attired and groomed appropriately.

Was attired and groomed appropriately. Excellent Good Fair Poor Unacceptable
Performed tasks with a positive and willing attitude.

Performed tasks with a positive and willing attitude. Excellent Good Fair Poor Unacceptable
Was capable of independent work.

Was capable of independent work. Excellent Good Fair Poor Unacceptable
Responded positively to feedback.

Responded positively to feedback. Excellent Good Fair Poor Unacceptable
Handled problem situations well.

Handled problem situations well. Excellent Good Fair Poor Unacceptable
Made an effort to learn about the agency.

Made an effort to learn about the agency. Excellent Good Fair Poor Unacceptable
Established good rapport with staff, clients, and others.

Established good rapport with staff, clients, and others. Excellent Good Fair Poor Unacceptable
Used time efficiently.

Used time efficiently. Excellent Good Fair Poor Unacceptable
Adapted to environment.

Adapted to environment. Excellent Good Fair Poor Unacceptable
Communication, listening, speaking, writing skills.

Communication, listening, speaking, writing skills. Excellent Good Fair Poor Unacceptable
Quality of student work

Quality of student work Excellent Good Fair Poor Unacceptable
Overall rating of student’s performance.

Overall rating of student’s performance. Excellent Good Fair Poor Unacceptable
Please rate your level of satisfaction in regard to the Professor
Professor communicated intended student course goals and learning objectives

Professor communicated intended student course goals and learning objectives Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
Professor collaborated with the agency in planning of student experiences

Professor collaborated with the agency in planning of student experiences Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
Professor communicated with the agency throughout the entire experience

Professor communicated with the agency throughout the entire experience Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
Questions regarding Service Project
What direct or indirect impact did the student have on your organization and/or your clients?
What was the best aspect of this partnership for the organization? Why?
What are some of the challenges you encountered? (Check any that apply.)

What are some of the challenges you encountered? (Check any that apply.) Demands upon staff time Student service time period insufficient Lack of student commitment Too few students Too many students Lack of student professionalism Students not well prepared Students did not perform as expected Little contact/interaction with faculty/staff Logistics and scheduling Other
Describe your overall experience working with our student.
Experience collaborating with UTA
In what ways can we better prepare our students for service at your agency?
What suggestions or ideas do you have to improve the collaboration for a more efficient process?
Would you like to work on service learning projects or other activities with UTA in the future?

Would you like to work on service learning projects or other activities with UTA in the future? Yes No Not sure
Any additional comments:

Partner Service Learning Survey:Individual Student

Please rate your level of satisfaction with the student’s performance at your agency while doing the service learning project this semester:

Please rate your level of satisfaction in regard to the Professor

Questions regarding Service Project

Experience collaborating with UTA