Student Class Period
St. Francis Preparatory School
________________
6100 Francis Lewis Blvd. Fresh Meadows, NY 11365
(P) 718-423-8810 (F) 718-224-2108
2013-2014 Christian Service Course
1st Quarter Site Supervisor Evaluation
Dear Site Supervisor:
Thank you for your work with this student volunteer in your program. Your evaluation will be heavily considered in the determination
of his/her quarterly grade. Completed evaluations may be returned to the student who needs to return it to class by
Monday, November 2, 2015
Thank you for your time,
Mr. S. Sempowich
Service Instructor
Student’s Name: __________________________________________________
Agency: _________________________________________________________
According to your records what is the TOTAL number of hours served by this student
from 9/21/15 – 11/9/15? This evaluation is due 11/2 so if the student will serve any time between that day
and the signing of this form, please credit him/her those hours in advance.
________________________________ hours
Please evaluate this volunteer by checking off the appropriate box.
Excellent Good Average Fair Poor
Comments
Responsibility
Cooperation
Attitude
Punctuality
Attendance
Feel free to use this space or the back of the page to further comment on the contribution of this volunteer.
__________________________________________________________________________________________
Supervisor’s Signature ______________________________________________________
Date_________________________