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Mid Year Evaluation of Site by Member
( to be completed by member)
Corpsmember name
Placement Site
Supervisor Name
Corpsmember email address
Orientation to site and service
select one
excellent
good
unsatisfactory
Access to resources and materials
select one
excellent
good
unsatisfactory
Adherence to goals, tasks, objectives of your service description
select one
excellent
good
unsatisfactory
Office work space
select one
excellent
good
unsatisfactory
Overall supervision
select one
excellent
good
unsatisfactory
Feedback on service performed
select one
excellent
good
unsatisfactory
Inclusion in staff activities
select one
excellent
good
unsatisfactory
Training’s offered by the service site
select one
excellent
good
unsatisfactory
Please comment on any aspect of your service that you feel requires improvement at this time.
Is there anything else that PMSC can do for a new member, just accepted to the program, to make the process clear and easy
Are there any training's PMSC can offer that would be personally or professionally beneficial to you
Other comments
NOTE:
Once you click submit, please print, sign and date at the top of the form where indicated, and mail original to PMSC
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For more information browse this site or contact us:
pmsc@pmsc.org
119 Park Street, Ebensburg, PA 15931 814-472-7690 fax 814-472-5033
last update 02/14/2007
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