STUDENT RATING FORM FOR NONTRADITIONAL LEARNING ACTIVITIES (After submitting the form, you may click here to verify that your results were received)

This survey is designed to solicit feedback regarding your participation in a learning activity outside the usual classroom, library, or laboratory. This evaluation process is strictly confidential. Your instructor will not receive the results of this survey until after final grades have been submitted. Your instructor will be given a list of identification numbers for students who responded but will have no way of knowing how individual students responded. 
Faculty member (LAST NAME ONLY) Student ID

Course Number and Title Semester Year
Brief description of the activity

Please select the response that most closely corresponds with your thoughts on each of the following statements. Please provide additional observations in the space marked “Comments/Examples.”

1. While participating in this activity, I frequently reflected on the significance and implications of my experiences.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree     Strongly Agree
Comments/Examples 

2. While participating in this activity, I applied knowledge and/or ideas that I learned in university classes.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree     Strongly Agree
Comments/Examples 

3. This activity caused me to discover knowledge and/or ideas beyond what I learned in university classes.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree    Strongly Agree
Comments/Examples 

4. While participating in this activity, I interacted with individuals whose value systems differed from my own.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree     Strongly Agree
Comments/Examples 

5. Participation in this activity made me more aware of my personal value system.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree     Strongly Agree
Comments/Examples 

6. Participation in this activity made me more aware of individuals whose value systems differ from my own.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree     Strongly Agree
Comments/Examples 

7. Through participation in this activity, I gained new insights into interactions among individuals with differing value systems.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree     Strongly Agree
Comments/Examples 

8. Participation in this activity caused me to think more deeply about my educational and/or career objectives.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree    Strongly Agree
Comments/Examples 

9. Participation in this activity made a meaningful contribution to my educational experience at Francis Marion University.
Strongly Disagree    Disagree    Neither Agree Nor Disagree    Agree     Strongly Agree
Comments/Examples 

10. In addition to the developments covered above, did this activity influence your knowledge or value systems in other ways? If so, identify and discuss.
Comments/Examples