Colorado Campus Compact - UCAN Serve Evaluation

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Colorado Campus Compact UCAN Serve AmeriCorps Program

Education Survey ~ AmeriCorps Member Questionnaire

Demographics

About your organization

1.	Date: (mm/dd/yy)
2.	Please identify your State: Arizona Colorado Utah New Mexico
3.	Please identify your University/College Site:
		Arizona State University Brigham Young University College of Eastern Utah Colorado Christian University Colorado College Colorado Mountain College Colorado State University Colorado State University at Pueblo Dixie State College Fort Lewis College Front Range Community College Johnson & Wales University Lamar Community College LDS Business College Mesa Community College Morgan Community College Naropa University Red Rocks Community College Regis University	Salt Lake Community College San Juan College Snow College Southern Utah University Trinidad State Junior College University of Colorado at Boulder University of Colorado at Colorado Springs University of Colorado at Denver & Health Sciences Center University of Denver University of New Mexico-Gallup University of Northern Colorado Utah College of Applied Technology University of Utah Utah State University Utah Valley State College Weber State University Western State College Westminster College Other
4.	Your Agency's Name:
5.	Please describe your agency’s location: Urban Rural
6.	Please indicate the categories which your agency serves (check all that apply)
		Early Childhood K-3rd grade 4-6th grade 7-8th grade 9-12th grade Special Education Migrant Families	Math/Science Instruction Adult Education GED Instruction Mental Healthntal Health ESL Other (List)

End Outcomes

Please answer all of the following questions rating each of the following statements based on your personal experiences/observations at your SCHOOL during the current academic year:

1 = Strongly Disagree,

2 = Disagree,

3 = Neutral,

4 = Agree,

5 = Strongly Agree,

n/a= Not Applicable

Satisfaction with the Service Experience Rating
1.	This was the first time I taught in a “high needs” school.	1 2 3 4 5 n/a
2.	I was given the necessary guidance to complete my assignments effectively.	1 2 3 4 5 n/a
3.	I feel that I made a significant contribution at the school I served.	1 2 3 4 5 n/a
4.	I was given sufficient resources to teach or assist teaching effectively.	1 2 3 4 5 n/a
5.	I learned valuable lessons by teaching or assisting teachers in a “high needs” school.	1 2 3 4 5 n/a
6.	I would recommend teaching or assisting teachers in a “high needs” school.	1 2 3 4 5 n/a
Impact on Future Career Choices Rating
7.	I plan to teach in a “high needs” school.	1 2 3 4 5 n/a
8.	I plan to volunteer in a “high needs” school.	1 2 3 4 5 n/a
9.	I plan to teach in a school that IS NOT categorized as “high needs”.	1 2 3 4 5 n/a
10.	I plan to volunteer in a school that IS NOT categorized as “high needs”.	1 2 3 4 5 n/a
11.	I plan to work within my community in another field unrelated to education.	1 2 3 4 5 n/a
12.	I plan to volunteer within my community in another field unrelated to education.	1 2 3 4 5 n/a

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