Service Learning Evaluation Form - Pitzer College

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SERVICE LEARNING EVALUATION FORM (professor)
Date 
 
Professor Name:  
 
 
 
Course Title: 
 
 
Total # of Sites:   
 
Total # of hours  :  
 
Total # Enrolled Students: 
 
Phone#  
 
 
Email: 
 
Home College:         
 
Organizations/ Internship Sites:  
 
 
 
 
 
How sites were determined (student discretion, professor suggestion, referral to CEC, etc.):  
 
 
 
 
Student Requirements (how many days/ hours, etc.): 
 
Function/role of Intern (research, administrative, mentoring, tutoring, etc.):  
 
 
 
Was it as anticipated?  
 
 
 

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