SHINE Student Pre-Service Survey

Before embarking on the submission of your Student Intake Form, please take a moment to answer the following survey questions.

We at the national consortium have designed a short survey to better understand the body of students that support SHINE work, both at the start of their semesterly service and at the end of their SHINE experience. The purpose of this information is strictly used for our own organizational development. Thank you for taking the time to complete this survey!

Please enter the last four digits of your student ID: *

If you do not have a student ID number, please enter the last four digits of your social security number.

Select the school you are participating through: *

Participating in SHINE through a course?

If you are participating through a course, please complete the following

Name of Course:

Course Number:

Name of Instructor:

What is your year in school?: *

Click to choose your area of specialization

What is your major or area of specialization?: *

What type of academic institution are you enrolled in?: *

Two year program/community college

Four year college/university

Other

N/A

How old are you?: *

What is your gender?: *

Female

Male

What is your racial/ethnic identification?: *

Do you consider yourself a native English speaker?: *

Yes

Are you fluent in more than one language?: *

Yes, fully

Yes, partly

Were you born in the United States?: *

Yes

Were your parents born in the United States?: *

Both in US

One in the US and one in a foreign country

Both in a foreign country

No response

How much community Service have you completed before participating in SHINE?: *

Much

Some

Little

None

e.g., volunteer work with a church, charity or other community agency

Immigrants have a positive impact on U.S. society.: *

	Definitely Agree	Sort of Agree	Sort of Disagree	Definitely Disagree

I understand the difficulties that immigrants face in U.S. Society.: *

	Definitely Agree	Sort of Agree	Sort of Disagree	Definitely Disagree

I feel comfortable traveling to the surrounding Philadelphia communities.: *

	Definitely Agree	Sort of Agree	Sort of Disagree	Definitely Disagree

Participating in activities that help improve the community is an important resposibility for everyone, including young people.: *

	Definitely Agree	Sort of Agree	Sort of Disagree	Definitely Disagree

How likely are you to: volunteer with a charity, church or other community organization?: *

	Very likely	Somewhat likely	Somewhat unlikely	Very unlikely