Service Learning Data Reporting

Data collected in this form is used to report student service learning data for the UTA Campus. This data will be used for UTA's QEP, UEP, Maverick Advantage, and general CSL reporting.

THIS DOES NOT INCLUDE TRADITIONAL VOLUNTEERING DATA. If you have questions regarding your service learning course or project, please contact the Center for Service Learning office.

Faculty/Staff Name Faculty/Staff Name * First Last
School/College/Division *

School/College/Division Liberal Arts Business Social Work Education CAPPA Science Engineering Nursing and Health Innovation Honors Student Affairs
Department/Center/Office *
Email *
Phone Phone * - ### - ### ####
Do you have data to report? *

Do you have data to report? Yes No
If you have no service learning data to report, you may simply stop here and submit. If "Yes," please continue. You may also submit information for the current calendar year at any time.
SERVICE LEARNING DATA
Corresponding Course: Name, Abbreviation, Number, and Section Number
Date of Project/Class/Event Date of Project/Class/Event / MM / DD YYYY

If some classes or activities take place in the reporting period, but extend beyond, please go ahead and list them.
/ MM / DD YYYY

If some classes or activities take place in the reporting period, but extend beyond, please go ahead and list them.
Description
Narrative/Description of Course and Project
1. SERVICE LEARNING: Service as part of course curriculum, with reflection
1a. Total NUMBER OF STUDENTS who engaged in ACADEMIC SERVICE
LEARNING.
1b. Total of all ACADEMIC SERVICE LEARNING HOURS engaged in by your students.
Community Partner(s)
6. Nonprofit Agencies & Organizations Worked With on this project
Reflection of the project
Reflect on the project:
- how you felt about it
- how it affected you
- how it affected students
- how it affected the community partner
Would you do it again? Why or why not? What will you change, based on what you learned from doing this?
Questions? Comments?
Upload a photo, document, or video from your service learning project.

Attach Files
Upload a photo, document, or video from your service learning project.

Attach Files
Upload a photo, document, or video from your service learning project.

Attach Files
Upload a photo, document, or video from your service learning project.

Attach Files

Service Learning Data Reporting

Service Learning Data Reporting

If you have no service learning data to report, you may simply stop here and submit. If "Yes," please continue. You may also submit information for the current calendar year at any time.

SERVICE LEARNING DATA

Description

1. SERVICE LEARNING: Service as part of course curriculum, with reflection

Community Partner(s)

Reflection of the project

Questions? Comments?