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Service Learning Evaluation Form
Kendra Hendry, Supervising Teacher for BHS Service Learners
kendrah@dmtconline.org
864-279-6935
* Required
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Supervisor's Last Name, First Name
*
Your answer
School or Business Name
*
Your answer
Comments (optional)
Your answer
Directions for Service Learner Evaluations
Please rate your service learner on the following 12 employability skills with 5 being the highest and 1 being the lowest. I will calculate his or her grade by dividing the points earned by the 60 points possible. Thank you!
1. Attendance
*
5
4
3
2
1
2. Attitude
*
5
4
3
2
1
3. Assignment Completions
*
5
4
3
2
1
4. Cooperation
*
5
4
3
2
1
5. Courtesy
*
5
4
3
2
1
6. Enthusiasm/Interest
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5
4
3
2
1
7. Initiative
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5
4
3
2
1
8. On-Task
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5
4
3
2
1
9. Proper Attire
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5
4
3
2
1
10. Punctuality
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5
4
3
2
1
11. Willingness to Accept Guidance
*
5
4
3
2
1
12. Willingness to Conform to Rules & Regulations
*
5
4
3
2
1
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