Personal Information
Name *
Site *
Month *
Year *
Site Narratives
What is one thing you can celebrate about your work this month? *
Your answer
What is one challenge you experienced/are experiencing and how are you working to overcome this challenge? *
Your answer
How has your work this month made an impact on people in poverty? *
Your answer
Do you need additional support from the PSP office or VISTA Leader? *
If yes, please specify.
Your answer
What additional training or skills would improve your performance or happiness? *
Your answer
Are there stressors or concerns in your personal life that are keeping you from doing your best work? *
If yes, please specify.
Your answer
Are there any stressors or concerns at your site that keep you from doing your best work? *
If yes, please specify.
Your answer
Anything else you would like to address at your site visit? Are there any projects or celebrations you would like us to include in our monthly newsletter?
Your answer
Productivity Self-Assessment
List the projects you worked on this month. *
Include projects you worked on and any systems or services you updated or implemented this month.
Your answer
What new partners did you work with this month, and how did you work with them? *
Your answer
List two things you are doing to build capacity at your site? *
(e.g. training staff/volunteers, developing tracking systems, generating resources)
Your answer
List two things you are doing to ensure sustainability at your site? *
(e.g. creating/updating manuals, websites, templates)
Your answer
Please certify that you have completed the following tasks: *
Nothing to add this month.
I have read the announcements page on the website
I have updated my site logbook this month
I have submitted evidence for objectives I completed this month
I have completed my time card and have it signed by my supervisor
I have responded to all RSVP and information requests
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms