Maryville University Community Service Survey

Transcription

1 The Maryville University Community Service Survey The Maryville University Community Service Survey The Maryville University Community Service Survey is a brief survey developed in an effort to create a record of the community service performed by the students, faculty and staff at Maryville University. If you and/or your class performed community service (OTHER THAN MARYVILLE REACHES OUT) (SEE COMMUNITY SERVICE DEFINITION BELOW) within a group, club, student organization or class associated with Maryville University, make sure that only one person from your group registers that community service and indicates how many individuals participated in that service. Thank you for helping to record this information and for volunteering your time, talents and treasure to the many worthy causes in the St. Louis community and beyond. Stephen DiSalvo Director of Campus Ministry and Community Service sdisalvo@maryville.edu (phone) (fax) Community service means activities designed to improve the quality of life of off-campus community residents. Community service activities may include but are not limited to: academic service-learning, co-curricular service-learning (not part of an academic course, but utilizing service-learning elements) and other co-curricular student volunteer activities, as well as Work-Study community service and paid community service internships. Community service includes both direct service to citizens (e.g., serving food to the needy, helping low-income individuals to prepare their taxes) and indirect service (e.g., assessing community nutrition needs, managing a food bank, fundraising, material collections, etc.). Academic service-learning means: service that is integrated with academic course content. It may involve direct or indirect service, and may include academic research. About Me Name Student/Faculty/Staff [ ] Student [ ] Faculty [ ] Staff Major Page 1 of 6 The Maryville University Community Service Survey

2 [ ] Accelerated RN to MSN Degree [ ] Accounting Certificate [ ] Accounting Information Systems, B. S. [ ] Accounting, B.S. [ ] Actuarial Science, B.S. [ ] Actuarial Science, M.A. Early Access [ ] Actuarial Science, M.S. [ ] American Studies Certificate [ ] Art Education B.A. [ ] Art History Minor [ ] Art History Minor for BFA Students [ ] Bachelor of Fine Arts/Art Education Bridge [ ] Biochemistry, B.S. [ ] Biology Minor [ ] Biology, B.S. [ ] Biology, B.S. leading to the M.A. in Education [ ] Biology, B.S. with a Biotechnology Concentration [ ] Biomedical Science, B.S. [ ] Business Administration Minor [ ] Business Administration, B.S. [ ] Business Bridge [ ] Business Studies Certificate [ ] Chemistry Minor [ ] Chemistry, B.S. [ ] Chemistry, B.S. leading to the M.A. in Education [ ] Clinical Laboratory Science - Biochemistry [ ] Clinical Laboratory Science, B.S. [ ] Communication Minor [ ] Communication, B.A. [ ] Computer Science Certificate [ ] Computer Science Minor [ ] Computer Science, B.S. [ ] Criminal Justice/Criminology Minor [ ] Criminal Justice/Criminology, B.A. [ ] Design Minor [ ] Doctor of Nursing Practice (DNP) [ ] Doctor of Physical Therapy D.P.T. [ ] Early Access M.B.A. Program [ ] Early Childhood Education M.A.Ed. [ ] Education Minor [ ] Educational Leadership Ed.D. [ ] Elementary Education B.A. [ ] Elementary Education Bridge [ ] Elementary Education 3/2 Program with B.A. in English or Psychology and M.A. Ed. [ ] Elementary/Early Childhood 3/2 Program with B.A. and M.A. Ed. [ ] Elementary/Early Childhood B.A. [ ] Engineering (Dual Degree) B.A. [ ] Engineering (dual degree) B.S. [ ] English Minor [ ] English, B.A. [ ] English, B.A. leading to the M.A. in Education [ ] English/Elementary Education Bridge [ ] Environmental Science, B.S. [ ] Environmental Studies Minor [ ] Environmental Studies, B.A. [ ] Gerontology Certificate [ ] Gifted Education M.A.Ed. [ ] Graphic Design, B.A. [ ] Graphic Design, B.F.A. [ ] Health Science, B.S. [ ] History Minor [ ] History, B.A. [ ] History, B.A. leading to the M.A. in Education [ ] Information Systems, B.S. [ ] Information Systems Minor [ ] Interactive Design, B.F.A. [ ] Interior Design, B.F.A. [ ] International and Cultural Studies Minor [ ] International and Cultural Studies, B.A. [ ] International Business, B.S. [ ] Internet Marketing, B.S. [ ] Legal Studies Minor [ ] Legal Studies, B.A. [ ] Liberal Studies, B.A. [ ] Liberal Studies, B.A. and a concentration in Philosophy [ ] Liberal Studies, B.A. and a concentration in Political Science [ ] Literacy Specialist M.A.Ed. Page 2 of 6 The Maryville University Community Service Survey

3 [ ] Management & Leadership, B.S. [ ] Management Certificate [ ] Marketing Certificate [ ] Marketing, B.S. [ ] Master of Business Administration M.B.A. [ ] Master of Music Therapy, M.M.T. [ ] Master of Occupational Therapy, M.O.T. [ ] Mathematical Modeling for Business, B.S. [ ] Mathematical Science Minor [ ] Mathematical Science, B.S. [ ] Mathematics Education, B.S. leading to the M.A. in Education [ ] Middle Level Education B.A. [ ] Middle Level M.A.Ed. [ ] Music Minor [ ] Music Therapy Equivalency Program [ ] Music Therapy, B.S. [ ] Nursing and RN-BSN, B.S. [ ] Nursing, M.S. [ ] Organizational Leadership Early Access [ ] Organizational Leadership, B.A. [ ] Organizational Leadership, M.A. [ ] Philosophy Minor [ ] Physics Minor [ ] Political Science Minor [ ] Post-Baccalaureate Certification in conjunction with the M.A.Ed. [ ] Pre-Dentistry [ ] Pre-Law [ ] Pre-Medicine [ ] Pre-Optometry [ ] Principal Certification M.A.Ed./Ed.L. [ ] Process & Project Management [ ] Psychology Minor [ ] Psychology, B.A. [ ] Psychology, B.A. and a concentration in Rehabilitation [ ] Psychology/Elementary Education Bridge [ ] Psychology/Sociology, B.A. Double Major [ ] Rehabilitation Counseling Certificate of Advanced Graduate Study [ ] Rehabilitation Counseling, M.A. [ ] Rehabilitation Nursing Certificate [ ] Rehabilitation Services Certificate [ ] Rehabilitation Services, B.S. [ ] RN-BSN Nursing Weekend and Evening College [ ] Science Minor [ ] Science, B.S. [ ] Secondary Education Bridge [ ] Secondary Education Bridge/Early Access [ ] Secondary Teaching and Inquiry M.A.Ed. [ ] Social Work Bridge [ ] Sociology B.A. [ ] Sociology Minor [ ] Spanish Minor [ ] Sport & Entertainment Management Certificate [ ] Sport Business Management, B.S. [ ] Strategic Communication & Leadership Early Access [ ] Strategic Communication & Leadership, M.A. [ ] Studio Art Minor [ ] Studio Art, B.A. [ ] Studio Art, B.F.A. [ ] Studio Art, B.F.A. - 3/2 Program with K-12 Certification and the M.A. in Education [ ] Teacher as Leader M.A.Ed. [ ] Women s Studies Minor [ ] Writing Minor Department Address Phone Number About your Group or Organization Page 3 of 6 The Maryville University Community Service Survey

4 Organization or Other Group: If you volunteered through a student organization, class or other group, indicate that here: [ ] Actuarial Science Club [ ] Alpha Lambda Delta (ALD) [ ] Am. Institute of Graphic Artists (AIGA) [ ] Am. Society of Interior Designers (ASID) [ ] Association of Black Collegians (ABC) [ ] AURA [ ] Baptist Student Union (BSU) [ ] Bascom Honors Society (BHS) [ ] Campus Activities Board (CAB) [ ] Comics, Anime, and Games [ ] Criminal Justice/Criminology Alliance [ ] Cru [ ] Community Service Club (CSC) [ ] Dance Team [ ] Gay-Straight Alliance (GSA) [ ] Health Educators Promoting Responsible Options (HEROs) [ ] Keith Lovin Institute for Leadership and Values [ ] Lovely Little Ladies [ ] Lutheran Student Fellowship [ ] Maryville Accounting Association [ ] Maryville Art Club [ ] Maryville Cultures Connect [ ] Maryville Promoting Women's Rights [ ] Maryville Ultimate Frisbee Club [ ] Maryville University Dawg Pound [ ] Maryville University History Association [ ] Maryville University Jewish Student Union [ ] Maryville University Paintball Society [ ] Maryville University Roller Hockey Club [ ] Maryville Anime Club [ ] Maryville Business Organization (MBO) [ ] Maryville Education Club (MEC) [ ] Maryville Student Government (MSG) [ ] MU Communications Association (MUCA) [ ] MU Good Samaritans (MUGS) [ ] MU Legal Association (MULA) [ ] MU Student American Rehabilitation Counseling Association (MUSARCA) [ ] MU Student Ocupational Therapy Association (MUSOTA) [ ] MU Table Tennis Society (MUTTS) [ ] MU Texas Hold'em Association (MUTHA) [ ] MU Theatrical Society (MUTS) [ ] Multicultural Club [ ] Muslim Student Association [ ] Music Therapy Student Assn. (MTSA) [ ] Omicron Delta Kappa (ODK) [ ] Pawprint Student Media [ ] Physical Therapy Club [ ] Pi Theta Epsilon (PTE) [ ] Political Awareness Club (PAC) [ ] Pre-Med Club [ ] Psychology/Sociology Club [ ] Red Pride [ ] Reformed Campus Fellowship (RCF) [ ] Residential Housing Association (RHA) [ ] Roman Catholic Student Comm. (RCSC) [ ] Student Life Art Club (SLAC) [ ] Student Nurses Association (SNA) [ ] Sign The List Buckle Up Drive Safe [ ] Spirit and Truth [ ] Student-Athlete Advisory Committee [ ] The Apple Tree [ ] None [ ] Other Other (please secify) Organization or Agency Served Page 4 of 6 The Maryville University Community Service Survey

5 Organization Name Organization Contact Person (if available) Address (if available) Phone Number (if available) Date of Service Dates of Service Enter the exact or approximate date(s) of service: Type(s)of Service(s) Performed Type(s)of service(s) performed and/or activity engaged in on behalf of the organization: Choose Type of Community Service: [ ] fundraiser (other) [ ] item collection/drive (school supplies) [ ] item collection/drive (personal care items) [ ] item collection/drive (clothing) [ ] item collection/drive (food/cans) [ ] fundraiser (trivia night) [ ] fundraiser (dance-a-thon) [ ] fundraiser (walk/run) [ ] tutoring/mentoring [ ] visit/social interaction [ ] home repair [ ] home building [ ] indoor/outdoor clean up [ ] office/clerical work [ ] recycling [ ] childcare/babysitting [ ] community building [ ] tree planting/gardening [ ] painting [ ] other (please describe) Please add any data you have such as the number or value of items collected, etc. Number of Volunteers Participating How Many Volunteers Participated? Number of community service participants: Total Service Hours Volunteered Including all participants, how many volunteer hours were served? Approximate total number of volunteer service hours were donated: Thank You for Standing Up and Being Counted!!! Page 5 of 6 The Maryville University Community Service Survey

6 Thank you for registering your community service in Maryville Cares: The Maryville University Community Service Registry. Page 6 of 6 The Maryville University Community Service Survey