Host
Site Year End Evaluation
|
| Service
Site
|
|
| AmeriCorps
Member Name |
|
| Evaluator's
Name |
|
| Evaluator
Email |
|
| Please
rate your member: 1=need significant improvement | 2=needs improvement
| 3=average | 4=above average | 5=exceptional |
| Dependability
- Attendance, punctuality, accepts responsibility, follows
instructions |
|
|
| Mental
Alertness/Attentiveness - interest in site and service,
eager to learn, ability to learn and remember methods and procedures |
|
| Initiative
- Ability to develop constructive ideas, keeps busy, consistent,
serves without supervision |
|
| Thoroughness
- Accurate, completes tasks, takes care of equipment, practices
safety, handles supplies efficiently |
|
| Personal
Appearance - Neat, good hygiene, proper dress |
|
| Manners
- Courteous, considerate, appreciative, respectful, open-minded,
honest, self-controlled |
|
| Ability
to get along with others - Friendly, cooperative, ability
to accept criticism, respectful, sense of humor with clients and
staff |
|
| Leadership
- Assertive, imaginative, enthusiastic, good judgement |
|
| Self
Confidence - Does the member have confidence in his/her
own abilities? |
|
| Please
comment on:: |
The
most significant contribution that the member made to your program |
|
Suggesstions
for strengthening the partnership |
|
Additional
Comments |
|
|
|
