Pre-Service Questions

Yes, within the last 12 months

Yes, but NOT within the last 12 months

No, never

1. Have you ever worked together with someone or some group to solve a problem in the community where you live?

2. Have you volunteered or done any voluntary community service for no pay?

3. Do you belong to or donate money to any groups or associations, either locally or nationally such as charities, labor unions, professional associations, political or social groups, sports or youth groups, and so forth?

4. Are you currently registered to vote?

5. Have you contacted or visited a public official to ask for assistance or contacted a media source to express your opinion on an issue or candidate?

6. Have you ever participated in a protest march or demonstration?

7. Have you attended a meeting of town or city council, school board or neighborhood association, or attended a civic issue related conference, seminar, or lecture?

8. Are you currently participating in any student organizations that are doing work/service in the community?

9. Have you previously participated in a community-based learning course or other service-learning/community service/volunteer activity in connection with other courses in college or high school?

10. Are you currently taking classes/courses that have a community-based learning component?