BGSU :: Offices :: Office of Service-Learning

Office of Service-Learning

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Faculty First Name
Faculty Last Name
Title
Faculty e-mail
Department/Unit
College/Unit
Semester
Year
Academic year
How often is the course usually taught?
Course Title
Course Number
Call Number
Credit Hours
Honors Course (H)	yes no
General Education Course	yes no
BGX Course (V or Q)	yes no
Required for a major or minor?	yes no
Required by a program or unit?	yes no
Graduate Class	yes no
Undergraduate Class	yes no
Internship or Practicum	yes no
Field Experience	yes no
Course description (500 character limit)
Number of Students Enrolled
Number of SL hours required in the syllabus
Estimated number of hours each student spent on the SL component
Estimated number of hours all students spent on the project combined
How often do students participate in the service-learning experience?
Number of faculty and course assistants that worked on the course
Total number of hours that all faculty and course assistants spent on the service-learning component during the semester during the semester
How many partners did you have in the course?
Community partner that was a part of the project
How would you categorize the course?
Did you have student course assistants or peer facilitators in your class?	yes no
Do you have a course syllabus to add to the SL syllabus bank?	yes no

Types of service-learning projects required as part of the course (List all that apply):
Student Provides Direct Service
Community Based Research
Service Based Internship/Field Experience/Practicum/COOP
Capstone Experiences
Clinical Services
Field Experience
Study Away
Study Abroad
Online/Blended Course
Co-Curricular Class
Required for Scholarship
Group Projects
Individual Projects
Other (Please Specify)

Products/outcomes generated by the course (List all that apply):
Service for an organization 5 hours a semester
Service for an organization 10 hours a semester
Service for an organization 15 hours a semester
Service for an organization 20 hours a semester
Service for an organization more than 20 hours a semester
Intern assigned to partner
Research support and data gathering
Statistical analysis
Policy analysis or advocacy
Event Planning/Coordination
Public relations media materials/campaigns
Website development and support
Film and video production
Print & promotional materials/Displays & presentations
Technology/Computer Training/Development
Scientific testing or analysis
Tutoring & mentoring
Construction, building, and design
K-12 services
Language skills
Speech and hearing services
Sports and movement resources
Training
Health campaigns and training
Art products and training
Music/Theater performance and training
Environmental Analysis/projects
Other (Please Specify)

Areas that the service-learning component addressed (List all that apply):
Diversity/Multicultural/Inclusion issues/Communities
Agricultural/Rural Issues
Anti-Violence/Domestic Violence
Cultural/Arts/Performance
Business Development
Criminal Justice
Disability/Inclusion
Disaster Prevention and Relief/Response
Community & Economic Development
Education/Dropout Prevention
Employment
English as a Second Language
Environment
Faith Based
Families
Great Lakes
Health/Nutrition
Homelessness
Housing
Hunger
Intergenerational
International
LGBT
Libraries
Literacy
Government
Mental Health
Mentoring
Migrant
National Service
Science and Technology
Older Adults & Senior Citizens
Social Justice
Sport
Tutoring
Volunteer Recruitment and Management
Women
Young Children
Youth Development
Veterans
Other (Please Specify)

Please include any additional comments about the course (500 characters max)