Training course: Curricular Community Engagement / Academic Service-

Learning for Academic staff and Administrators

Pre-implementation course form

Dear Colleague,
Thank you for your participation in this Curricular Community Engagement /
Academic Service-Learning course. In order to enhance this course your
completion of this questionnaire would be much appreciated. This form should be
completed before or during the 1st session of the course.

1. Why did you deicide to participate in this course for Curricular

Community Engagement / Academic Service-Learning? Please state
your reasons in order of importance.
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2. Briefly describe your understanding of Curricular Community

Engagement / Academic Service-Learning?

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3. What in your view are the main benefits of Academic Service-Learning?
Please state these benefits in order of preference.
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4. What in your view are the key elements of Academic Service-Learning?

Please state these elements in order of importance?
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5. What barriers or challenges do you anticipate in the development of your

Academic Service-Learning module/course? Please state these in order of
significance.
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5.4 …………………………………………………………………………………………………
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6. What barriers or challenges do you anticipate during the implementation of

your Academic Service-Learning module/ course? Please state these in order
of significance.
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6. Given your understanding of Academic Service-Learning, have you run a

module /course which includes Academic Service-Learning in the past? If so
when and what was/is the title of the course?

YES / NO ………………………………………………………………………………………
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7. What do you hope to accomplish through your participation in this training

course on Curricular Community Engagement and Academic Service-
Learning? Please state in order of importance.
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8. What expectations do you have of your Academic Service-Learning
Facilitator (lecturer)? Please state in order of importance.
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9. What evidence will attest to the success of your participation in this

training course Curricular Community Engagement and Academic Service-
Learning? Please state in order of importance.
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Thank you for your time and cooperation

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