Community Awareness Program

Student evaluation. Supervisors-Please fill this out and return to Ann Eldredge at JMHS by March 24th or earlier. Thanks!

Rating Scale used in survey:
5 - Superior
4 - Above Average
3 - Average
2 - Below Average
1 - Failing
NA - Not Applicable

Name: 


A red asterisk (*) indicates required questions.

  1. Name of Student*


  1. Agency


  1. Student reports regularly and punctually at time agreed upon.
    1 2 3 4 5   N/A
     


  1. Student notifies supervisor if they are going to be late or absent
    1 2 3 4 5   N/A
     


  1. Student attends to tasks assigned to him/her at the agency.
    1 2 3 4 5   N/A
     


  1. Student’s attire and grooming are appropriate to the agency.
    1 2 3 4 5   N/A
     


  1. Student does tasks with a positive and willing attitude.
    1 2 3 4 5   N/A
     


  1. Student takes initiative to meet needs of clients & supervisor.
    1 2 3 4 5   N/A
     


  1. Student is willing to take suggestions for improvement.
    1 2 3 4 5   N/A
     


  1. Student shows continuing effort to improve skills at CAP agency.
    1 2 3 4 5   N/A
     


  1. Student shows imagination and resourcefulness in recognizing and solving problems.
    1 2 3 4 5   N/A
     


  1. Student is attempting to increase his/her knowledge about the conditions under which the agency works.
    1 2 3 4 5   N/A
     


  1. Student attempts to establish/maintain a good rapport with clients.
    1 2 3 4 5   N/A
     


  1. Student attempts to establish/maintain a good rapport with staff.
    1 2 3 4 5   N/A
     


  1. Student informs supervisor of any problems that may develop at the agency.
    1 2 3 4 5   N/A
     


  1. Majority of CAP student time spent with client contact.
    1 2 3 4 5   N/A
     


  1. Your overall opinion of the work done by the student.
    1 2 3 4 5   N/A
     


  1. Additional comments regarding CAP student (attitude towards assignment, agency, clients, etc...)