Event/Activity Assessment
Requestor's Name
*
First Name
Last Name
Requestor's Email
*
example@example.com
Requestor's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date
-
Month
-
Day
Year
Date
What presentation/event/activity did you attend?
Which describes you?
CCC Student
CCC Faculty
CCC Staff
CCC Family/Friend
Thinking Skills - What are some insights you've gained from the presentation/event/activity?
Communication Skills - What are some important conversations you'll continue to have about the presentation/event/activity?
Diversity and Global Awareness - Describe how you have gained an understanding and appreciation of diverse cultures, values, beliefs, and historical perspectives from the presentation/event/activity.
Ethical and Civil Values - Describe how you have gained an understanding about individual and societal responsibilities, needs, and values from the presentation/event/activity.
Core Skills - How will you continue to seek new information to solve problems in regard to the topics of this presentation/event/activity?
Please provide any questions, comments, feedback, and/or improvements.
Submit
Should be Empty: