SERVICE-LEARNING PROGRAM STUDENT COMMUNITY SERVICE-LEARNING MID-SEMESTER PROGRESS REPORT STUDENT: _____________________________VOLUNTEER AGENCY/ORGANIZATION: ________________________ TELEPHONE: ________________________ TODAY’S DATE: _________________________AGENCY/ORGANIZATION SIGNATURE: ________________________________ SUPERVISOR’S NAME: ___________________SUPERVISOR’S SERVICE HOURS TO DATE: _______________EVALUATION PERIOD (DATES). ______________________________ OVERALL NEEDS AVERAGE GOOD EXCELLENT CANNOT COMMENTS HELP RATE Do you think this individual is performing PUNCTUAL: gets well at this to work stage of the on time program? Times Absent: YES Times Tardy: DEPENDABILITY: NO Prompt, Please follows explain: (USE THE meets BACK OF PAPER IF NEEDED) ADAPTABILITY: If there have Catches on fast, been any follows problems, detailed describe the circumstances can and the switch outcome: jobs THANK YOU ABILITY TO GET FOR YOUR ALONG: HELP! Cooperative, well Dstribution: White – social Faculty, and Canary – stability ATTITUDE: Office, Pink – Enthusiastic, a Student good team worker, willing to 1.6 desires to improve INITIATIVE: Ability to work without ACCEPTS Eager to improve, seeks follow through
SERVICE-LEARNING PROGRAM STUDENT COMMUNITY SERVICE-LEARNING MID-SEMESTER PROGRESS REPORT STUDENT: _____________________________VOLUNTEER AGENCY/ORGANIZATION: ________________________ TODAY’S DATE: _________________________AGENCY/ORGANIZATION TELEPHONE: ________________________ SUPERVISOR’S NAME: ___________________SUPERVISOR’S SIGNATURE: ________________________________ SERVICE HOURS TO DATE: _______________EVALUATION PERIOD (DATES). ______________________________ OVERALL NEEDS HELP AVERAGE GOOD EXCELLENT CANNOT RATE COMMENTS PUNCTUAL: gets to work on time Times Absent: Times Tardy: DEPENDABILITY: Prompt, follows meets ADAPTABILITY: Catches on fast, follows detailed can switch jobs ABILITY TO GET ALONG: Cooperative, well social and stability ATTITUDE: Enthusiastic, a good team worker, willing to desires to improve INITIATIVE: Ability to work without ACCEPTS Eager to improve, seeks follow through Do you think this individual is performing well at this stage of the program? YES NO Please explain: (USE THE BACK OF PAPER IF NEEDED) If there have been any problems, describe the circumstances and the outcome: THANK YOU FOR YOUR HELP! Dstribution: White – Faculty, Canary – Office, Pink – Student 1.6