Share your experience_2

Title of the Service-Learning experience*

Please note: if this Service-Learning experience has taken place along more than one academic year, please when providing the description keep it the data to the last academic year which took place.

Brief summary of the Service-Learning experience (300-500 words):*

Higher Education Institution*

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It is very important to include an image because it will be created a post to publish the S-L experience

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Country of the Higher Education Institution that hosts the S-L experience:*

Please specify:

Date of the last academic course in which the S-L experience took place:*

In that specific academic year, how many students were enrolled in the S-L experience?*

Full name of person completing form:*

Title/position*

Please specify:

Email:*

Enter Email Confirm Email

Phone number with international code or Skype contact user name

Are you the person in charge of the S-L experience?

Yes
No

Name of the person in charge

Email of the person in charge

Does your institution provide support with the design, implementation or evaluation of the S-L experience?

Yes
No
Other

Please specify

How did the students interact with the final beneficiaries of the S-L experience?*

Face-to-face
Virtual
Mixed
Other

Please specify

To what academic degree is the S-L experience linked?

(Choose as many as you think adequate)

Undergraduate
Master
PhD
Other

Please specify

What is the first main discipline area of the S-L experience in representativeness or importance?

First choice

Please specify

What are the second main discipline area of the S-L experience in representativeness or importance?

Second choice

Please specify

What are the third main discipline area of the S-L experience in representativeness or importance?

Third choice

Please specify

How is the S-L experience configuration?

Part of a subject
A S-L course
Other

Please specify

How is student's enrolment?

Voluntary
Mandatory
Other

Please specify

How is student's instruction?

Online
In-person
Mixed
Other

Please specify

Type of higher education institution:*

Please specify

What is the ownership of the higher education institution?*

Public
Private
Other

Please specify

Is the Higher Education Institution faith based?*

Yes
No
Other

Please specify

What are the main service areas in representativeness or importance?

First choice

What are the main service areas in representativeness or importance?

Second choice

What are the main service areas in representativeness or importance?

Third choice

Type of community partner(s)

Choose as many you think adequate

Please specify

Aproximate number of final beneficiaries:

Will this S-L experience be implemented next year?

Yes
No
Maybe

Please, add any further comments:

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Email address

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Share your experience

Basic Questionnaire for mapping Service-learning experiences (1)