Community Awareness Program - May 2009

Student Evaluation Supervisors: Please fill this out and return to Ann Eldredge at JMHS by May 26th or earlier. Thanks! Rating System to be Used: 5 = Superior 4 = Above Average 3 = Average 2 = Below Average 1 = Failing NA = Not Applicable



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


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


  1. Supervisor's Name:





Instructional Technology Staff
Instructional Technology
Rochester, MN