Service Learning Faculty Participation Form - Spring 2023
Exit Survey
Questions marked with a
*
are required
22%
Community Engagement Courses (
Service-Learning) Participation Form - Spring 2023
Please complete this form to enlist your students in your course(s) in the Service-learning placement program. If you have any questions, please contact Heriberto Garcia at cce@utep.edu or via phone at (915)747-7969.
Faculty Profile
Professor Name:
Preferred Prefix:
Phone:
Email:
Department:
Course Information
Course Title
Course Number
Class Meeting Day/Time
Classroom Location
Number of Students
30-Minute Class Presentation Day/Time
(Usually 1
st
or 2
nd
week of the semester)
1 Hour Training Day/Time
(Usually 3rd or 4
th
week of the semester)
Are community engagement hours mandatory to recieve course credit?
Yes
No
Do you have other courses you'd like to have participate?
Yes
No
Start
Powered by
QuestionPro
Loading...
close
drag_indicator
close
Yes
Cancel
Continue
Answer Question
Continue Without Answering
Keep Data
Discard
close