Student Intern Agency Evaluation Form
Student Intern must submit this form before their Agency Supervisor can verify the students hours for payment. SAF Program Director will contact the Agency Supervisor directly for verification.
Student name *
Your answer
Agency Name *
Your answer
Supervisor name *
Your answer
What was the purpose of the agency you volunteered at? *
Your answer
What was your role & responsibilities at the agency? *
Your answer
Rate Supervision and training received *
Very Good
Average - good enough
Needs Improvement
Would you recommend this Agency to another student? *
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