St. Francis Preparatory School
6100 Francis Lewis Blvd. Fresh Meadows, NY 11365
(P) 718-423-8810 (F) 718-224-2108
Student Class Period
2014-2015 Christian Service Course
4th Quarter Site Supervisor Evaluation
________________
Dear Site Supervisor:
Thank you for continuing to 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 by
Friday June 5, 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 3/30/15 – 6/9/15? This evaluation is due 6/5 so if the student will serve any time
between when you complete this form and 6/9, please credit them those hours in advance.
________________________________ hours
Please evaluate this volunteer by checking off the appropriate box.
Excellent Very Good Good
Average Fair
Comments
Responsibility
Cooperation
Attitude
Punctuality
Attendance
Supervisor’s Signature ______________________________________________________
Date________________________